Organization · Type 2 NPI
Promaxsurgery
Oral and Maxillofacial Surgery (Dentist) · Peoria, AZ
NPI number
1679488035
Active
Practice location
26425 N Lake Pleasant Parkway, Suite 110
Peoria, AZ 85383
Mailing address
8809 N Via La Serena
Paradise Valley, AZ 85253-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 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.
Other oral and maxillofacial surgery (dentist) providers in Peoria
About NPI 1679488035
Promaxsurgery's National Provider Identifier is 1679488035, issued on Aug 18, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Peoria, AZ. The record was last updated on Aug 18, 2026.