Organization · Type 2 NPI
Anthem Center for Oral Facial Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Anthem, AZ
NPI number
1396000394
Active
Practice location
42104 N Venture Dr Ste A106
Anthem, AZ 85086-3824
Fax (623) 551-6557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D6337 (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.
Other oral and maxillofacial surgery (dentist) providers in Anthem
About NPI 1396000394
Anthem Center for Oral Facial Surgery PC's National Provider Identifier is 1396000394, issued on Jul 6, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Anthem, AZ. The record was last updated on Jul 6, 2012.