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PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES LLC NPI 1114355575


NPI Information

NPI: 1114355575
Provider Name: PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
5410 N SCOTTSDALE RD
SUITE B-110
PARADISE VALLEY, AZ
ZIP 85253
Phone: (480) 300-7152
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PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC is an oral maxillofacial surgery in Paradise Valley, AZ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC NPI is 1114355575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5410 N SCOTTSDALE RD
SUITE B-110
PARADISE VALLEY, AZ
ZIP 85253-927
Phone: (480) 300-7152
Fax: (480) 725-0228

The provider's authorized official is Nicolas Philippe Bebeau .
The authorized official title is Owner and has the following contact phone number (480) 300-7152.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 10/23/2013.


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
1204E00000XOral & Maxillofacial Surgery47593ARIZONAYes

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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