SKIN AND FACE PHOENIX NPI 1407738727

NPI Information

  • NPI: 1407738727
  • Provider Name: SKIN AND FACE PHOENIX
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4400 N 32ND ST STE 100
    PHOENIX, AZ
    ZIP 85018
  • Phone: (602) 428-1775

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NPI Details

SKIN AND FACE PHOENIX is an oral and maxillofacial surgery clinic center in Phoenix, AZ. The provider is an oral and maxillofacial surgery clinic or center 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. SKIN AND FACE PHOENIX NPI is 1407738727. The provider is registered as an organization entity type.

The provider's business location address is:

4400 N 32ND ST STE 100
PHOENIX, AZ
ZIP 85018-964
Phone: (602) 428-1775

The provider's authorized official is David Tuggle .
The authorized official title is Oral And Maxillofacial Surgery and has the following contact phone number (602) 428-1775.

The enumeration date for this NPI number is 7/25/2025 and was last updated on 7/25/2025.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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