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AZ MAX SURGEONS PLC NPI 1528530284


NPI Information

NPI: 1528530284
Provider Name: AZ MAX SURGEONS PLC

Former Legal Business Name: ARIZONA MAXILLOFACIAL SURGEONS PC

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6755 E SUPERSTITION SPRINGS BLVD STE 103
MESA, AZ
ZIP 85206
Phone: (480) 830-5866
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AZ MAX SURGEONS PLC is an oral and maxillofacial surgery dentist in Mesa, 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. AZ MAX SURGEONS PLC NPI is 1528530284. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Arizona Maxillofacial Surgeons Pc.

The provider's business location address is:

6755 E SUPERSTITION SPRINGS BLVD STE 103
MESA, AZ
ZIP 85206-375
Phone: (480) 830-5866
Fax: (480) 807-0606

The provider's authorized official is Jilian Porter .
The authorized official title is Credentialing Coordinator and has the following contact phone number (480) 830-5866.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 7/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 4/28/2024

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