Oral & Facial Surgeons Of Arizona in Phoenix - Oral And Maxillofacial Surgery
Oral & Facial Surgeons Of Arizona - NPI 1568667061
Oral & Facial Surgeons Of Arizona is a Oral And Maxillofacial Surgery in Phoenix, Arizona. Oral & Facial Surgeons Of Arizona practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral & Facial Surgeons Of Arizona is 1568667061. The last update date is 2017-12-28.
Oral & Facial Surgeons Of Arizona's current location address is 5050 N. 40th Street, Phoenix, Arizona. You can contact this provider via phone number 6029570332 and fax number 6029573282. The mailing address for Oral & Facial Surgeons Of Arizona is 5050 N. 40th Street, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Facial Surgeons Of Arizona |
|---|---|
| Address | 5050 N. 40th Street, Phoenix, Arizona |
| Phone Number | 6029570332 |
| Fax Number | 6029573282 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sabol Gregory Jon |
| Credentials | D.M.D., M. |
| Telephone Number | 6029570332 |
NPI Number Detail
| NPI Number | 1568667061 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2017-12-28 |
Provider Mailing Address Detail
| Address | 5050 N. 40th Street |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85018 |
| Phone Number | 6029570332 |
| Fax Number | 6029573282 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6816 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83717 | AZ | -- | |
| 931920 | AZ | -- | |
| 89805 | AZ | -- |
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What is the unique provider identifier assigned to Oral & Facial Surgeons Of Arizona?
The Oral & Facial Surgeons Of Arizona has been issued the NPI (National Provider Identifier) 1568667061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Oral & Facial Surgeons Of Arizona located?
The Oral & Facial Surgeons Of Arizona is located at 5050 N. 40Th Street, Phoenix, AZ 85018.
What is the Oral & Facial Surgeons Of Arizona's specialty and taxonomy code?
The Oral & Facial Surgeons Of Arizona's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Oral & Facial Surgeons Of Arizona receive its 1568667061 assignment from the Centers for Medicare & Medicaid Services?
The Oral & Facial Surgeons Of Arizona was assigned its 1568667061 by the Centers for Medicare & Medicaid Services on 2007-06-15.
As of what date was the information regarding Oral & Facial Surgeons Of Arizona, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Oral & Facial Surgeons Of Arizona, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-28.
NPI Number: 1881658979
Address: 2840 Sw Urish Rd, Topeka, KS