Organization · Type 2 NPI

Phoenix Wisdom Teeth, LLC

Oral and Maxillofacial Surgery (Dentist) · Glendale, AZ

NPI number 1255945366 Active

Practice location

17037 N 43rd Ave # A4A
Glendale, AZ 85308-4026

Call (801) 406-8670 Map

Mailing address

5513 W 11000 N # 226
Highland, UT 84003-8012

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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 1255945366

Phoenix Wisdom Teeth, LLC's National Provider Identifier is 1255945366, issued on Sep 4, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glendale, AZ. The record was last updated on Sep 4, 2020.