# FLAGSTAFF FAMILY DENTAL CENTER PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699970681
- **Authorized official:** MRS. JULIE KAY MCLEOD (CEO)
- **Authorized official phone:** (520) 290-6181

## Contact information

- **Practice address:** 2615 N 4TH ST, SUITE 6, FLAGSTAFF, AZ 86004
- **Practice address phone:** (928) 774-4761
- **Practice address fax:** (928) 773-9589
- **Mailing address:** 11550 E IRVINGTON RD, TUCSON, AZ 85747
- **Mailing address phone:** (520) 290-6101
- **Mailing address fax:** (520) 290-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 07/19/2007