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PEORIA ORAL & IMPLANT SURGERY PLLC NPI 1497265516


NPI Information

NPI: 1497265516
Provider Name: PEORIA ORAL & IMPLANT SURGERY PLLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ
ZIP 85383
Phone: (623) 230-2297
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PEORIA ORAL & IMPLANT SURGERY PLLC is an oral maxillofacial surgery in Peoria, 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. PEORIA ORAL & IMPLANT SURGERY PLLC NPI is 1497265516. The provider is registered as an organization entity type.

The provider's business location address is:

10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ
ZIP 85383-881
Phone: (623) 230-2297

The provider's authorized official is Nino Pollaccia .
The authorized official title is Owner and has the following contact phone number (623) 230-2297.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 3/24/2022.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
2204E00000XOral & 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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