Organization · Type 2 NPI
Agave Oral Surgery and Dental Implant Center
Oral and Maxillofacial Surgery (Dentist) · Goodyear, AZ
NPI number
1881557593
Active
Practice location
1646 N Litchfield Rd # B130
Goodyear, AZ 85395-1203
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.
About NPI 1881557593
Agave Oral Surgery and Dental Implant Center's National Provider Identifier is 1881557593, issued on Dec 9, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Goodyear, AZ. The record was last updated on Dec 11, 2025.