OrganizationActive
Northern Arizona Oral Surgery PC
NPI 1164156725 · Oral and Maxillofacial Surgery Clinic/Center · Flagstaff, AZ
Provider details
- NPI number
- 1164156725
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Whitney Pavick, Sr. Operations Manager(801) 857-7947
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1521 N Beaver St
Flagstaff, AZ 86001-1484
Phone: (928) 773-2530
Fax: (928) 773-2532
Street-level locationGet directions
Mailing address
1521 N Beaver St
Flagstaff, AZ 86001-1484
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.