Organization · Type 2 NPI
Southwest Orofacial Group, Inc.
Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ
NPI number
1487733572
Active
Practice location
10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Fax (602) 992-6604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 1607 (AZ) |
| 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.
2 other providers at this address
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About NPI 1487733572
Southwest Orofacial Group, Inc.'s National Provider Identifier is 1487733572, issued on Nov 2, 2006. 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.