# WEEDMAN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Six Summits Dentistry Flagstaff, Six Summits Smile Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275345035
- **Authorized official:** DR. MIKAELA LYNN WEEDMAN DMD (OWNER DENTIST)
- **Authorized official phone:** (602) 680-0322

## Contact information

- **Practice address:** 710 N BEAVER ST BLDG 5, FLAGSTAFF, AZ 86001-3146
- **Practice address phone:** (928) 774-4726
- **Practice address fax:** (833) 895-1327
- **Mailing address:** 9959 BLACKHORSE RD, FLAGSTAFF, AZ 86004-9781
- **Mailing address phone:** (602) 680-0322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 03/06/2026