Organization · Type 2 NPI

Southwest Orofacial Group, Inc.

Oral and Maxillofacial Surgery (Dentist) · Mesa, AZ

NPI number 1619707049 Active

Practice location

6116 E Arbor Ave Ste 110
Mesa, AZ 85206-6103

Call (602) 992-1486 Map

Fax (602) 992-6604

Mailing address

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Orofacial Pain Dentistry 1223X2210XNone listed
Customized Equipment (DME) 332BC3200XNone 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 1619707049

Southwest Orofacial Group, Inc.'s National Provider Identifier is 1619707049, issued on Aug 1, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mesa, AZ. The record was last updated on Mar 4, 2026.