Organization
WEEDMAN DENTAL PLLC
Active
Other names
Six Summits Dentistry Flagstaff, Six Summits Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKAELA LYNN WEEDMAN DMD (OWNER DENTIST)
(602) 680-0322
Entity
Organization
Contact information
Practice address
710 N BEAVER ST BLDG 5, FLAGSTAFF, AZ 86001-3146
(928) 774-4726
(833) 895-1327
Mailing address
9959 BLACKHORSE RD, FLAGSTAFF, AZ 86004-9781
(602) 680-0322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
03/06/2026
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