Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Powell Dental Center, PC

Organization Dentist · NPI 1407392590

Lake Powell Dental Center, PC provides Dentist services in Page, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

436 Vista Avenue Box 1956
Page, AZ 86040
Phone: (928) 645-2505
Fax: (928) 645-6820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2639 (AZ)

Record details

NPI number1407392590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Gifford — Owner · (928) 645-2505
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address436 Vista, Page, AZ 86040-1956

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