Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Oral and Maxillofacial Surgeons of Northern Arizona

Oral and Maxillofacial Pathology Dentistry in Flagstaff, AZ · enumerated 2005 · authorized official Lorin Peterson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487651071

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Registry record

Entity type Organization (Type 2)

Legal business name Oral and Maxillofacial Surgeons of Northern Arizona

Practice address 77 W Forest Ave, Ste 107, Flagstaff, AZ, 86001

Phone (928) 773-2530

Fax (928) 773-2532

Enumeration date Jun 28, 2005

Last updated in NPPES Oct 16, 2007

Taxonomy & classification

1223P0106X Oral and Maxillofacial Pathology Dentistry Dental Providers · License 2803 (AZ) Primary

Authorized official

Name Lorin Peterson

Title President

Phone (928) 773-2530

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-16. Verify at npiregistry.cms.hhs.gov.

Where is Oral and Maxillofacial Surgeons of Northern Arizona located?

The practice location on file with NPPES is in Flagstaff, AZ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.