SOUTHWEST OROFACIAL GROUP INC. NPI 1487733572

NPI Information

NPI: 1487733572
Provider Name: SOUTHWEST OROFACIAL GROUP, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
10214 N TATUM BLVD STE A1100
PHOENIX, AZ
ZIP 85028
Phone: (602) 992-1486
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SOUTHWEST OROFACIAL GROUP, INC. is a customized equipment durable medical equipment medical supplies in Phoenix, AZ. SOUTHWEST OROFACIAL GROUP, INC. NPI is 1487733572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10214 N TATUM BLVD STE A1100
PHOENIX, AZ
ZIP 85028-243
Phone: (602) 992-1486
Fax: (602) 992-6604

The provider's authorized official is Therese Garvey .
The authorized official title is Owner and has the following contact phone number (216) 870-7911.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/27/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		1607	ARIZONA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery			No
3	1223X2210X	Dentist	Orofacial Pain			No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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