AFFILIATED ORAL & MAXILLOFACIAL SURGEONS PC NPI 1013023928

NPI Information

AFFILIATED ORAL & MAXILLOFACIAL SURGEONS PC is an oral and maxillofacial surgery dentist in Glendale, AZ. The provider is an oral and maxillofacial surgery dentist specialized in 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. AFFILIATED ORAL & MAXILLOFACIAL SURGEONS PC NPI is 1013023928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5750 W THUNDERBIRD
H-850
GLENDALE, AZ
ZIP 85306
Phone: (602) 938-0880
Fax: (602) 547-0528

The provider's authorized official is Charles G Bode .
The authorized official title is Oral Surgeon and has the following contact phone number (602) 938-0880.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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