Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEXTER P INNISS, D.M.D
Active Sole ProprietorDR. DEXTER P INNISS, D.M.D is a General Dentistry healthcare provider located in FORT DEFIANCE, Arizona. NPI 1629146469 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1629146469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.682387190331 yrs)
- Last Updated
- Mar 5, 2025
- License
-
DN012791 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF RT N12 AND N7FORT DEFIANCE, AZ, 865040649Browse AZ providers · Browse ZIP 86504
- Phone
- 7707607566
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. BILL SHAYNE TIDWELL | DDS | 1053391797 |
| DAVID ALLEN FLEMING | DDS | 1720121734 |
| DR. LELAND JAMES POND JR. | D.M.D | 1710110515 |
| DR. CHRISTINE A RIZKALLA | DMD | 1518308584 |
| DR. ETHAN D CHASE | DMD | 1720479892 |
| DANIEL STRATTON HULTGREN | — | 1821518275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.