Individual provider · Type 1 NPI
Matthew Adam Defelice, DDS
Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ
NPI number
1013914696
Active
Practice location
5315 E High St, Suite 119
Phoenix, AZ 85054-5438
Fax (480) 563-3965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5196 (AZ) |
Oral and Maxillofacial Surgery (Dentist): 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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Phoenix
- Bogdan Michael Kulikowski, DMDOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1003038571
- David Marc Harmatz, D.M.DOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1053382374
- Basilios C. Costaras, DDSOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1053644880
- John Malcolm Gillis, DMDOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1083673610
- Peter A. Bassett, DMDOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1083677249
- Marvin D. Goldenstein, DDSOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1083752687
- Richard R. Salb, DDSOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1134132715
- Tjiska Elaine Conrotto, DDSOral and Maxillofacial Surgery (Dentist) Phoenix, AZ NPI 1134754187
About NPI 1013914696
Matthew Adam Defelice, DDS's National Provider Identifier is 1013914696, issued on Jun 28, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 27, 2017.