Organization
CEDAR AVE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHITTENDEN DMD (OWNER)
(425) 870-3325
Entity
Organization
Contact information
Practice address
2010 E CEDAR AVE, FLAGSTAFF, AZ 86004-1621
(928) 774-3851
Mailing address
2010 E CEDAR AVE, FLAGSTAFF, AZ 86004-1621
(425) 870-3325
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528551603
ARIZONA
AZ
01
—
1538783360
ARIZONA
AZ
Enumeration date
09/26/2024
Last updated
10/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us