OrganizationActive
Debonair Ink
NPI 1194031336 · General Practice Dentistry · Flagstaff, AZ
Provider details
- NPI number
- 1194031336
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Debora Moshos, President(928) 774-1170
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1415 N Beaver St
Flagstaff, AZ 86001-1401
Phone: (928) 774-1170
Fax: (928) 774-1171
Street-level locationGet directions
Mailing address
1415 N Beaver St
Flagstaff, AZ 86001-1401
Other names (DBA / former)
- Other name
- Aesthetic Dentistry
Registry dates
- Enumerated
- 2010-08-25
- Last updated
- 2010-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.