Organization · Type 2 NPI
Southwest Orofacial Group, Inc.
Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ
Practice location
4350 E Ray Rd Ste 103
Phoenix, AZ 85044-4704
Mailing address
10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Orofacial Pain Dentistry | 1223X2210X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
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.
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About NPI 1245620459
Southwest Orofacial Group, Inc.'s National Provider Identifier is 1245620459, issued on Jan 26, 2015. 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 Mar 4, 2026.