PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC (NPI# 1114355575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114355575 |
| Entity Type | Organization |
| Organization Name | PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC |
| Practice Address |
5410 N Scottsdale Rd Suite B-110 Paradise Valley AZ 85253-5927 |
| Practice Telephone | 4803007152 |
| Practice Fax Number | 4807250228 |
| Mailing Telephone | 4803007152 |
| Mailing Fax Number | 4807250228 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Authorized Official Name | NICOLAS PHILIPPE BEBEAU (OWNER) |
| Authorized Official Telephone | 4803007152 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 47593 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5410 N SCOTTSDALE RD SUITE B-110 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929633 | Andrew M Moriarty | Physical Therapist | 5410 N Scottsdale Rd, Suite A-100, Paradise Valley, AZ 85253-7016 | 2005-08-22 |
| 1508234915 | Daniel Shapiro | Plastic Surgery | 5410 N Scottsdale Rd, Ste. F100, Paradise Valley, AZ 85253-5927 | 2015-09-02 |
| 1548636533 | Brooke Dolberg | Physical Therapist | 5410 N Scottsdale Rd, Suite A-100, Paradise Valley, AZ 85253-5927 | 2015-08-13 |
| 1851730535 | Phoenix Retina Centers, LLC | Ophthalmology | 5410 N Scottsdale Rd, Suite A400, Paradise Valley, AZ 85253-5927 | 2013-06-17 |
| 1386997666 | Lauri Janene Brouwer | Naturopath | 5410 N Scottsdale Rd, Ste. C-200, Paradise Valley, AZ 85253-5927 | 2012-10-24 |
| 1003141771 | Phoenix Retina Center, LLC | Ophthalmology | 5410 N Scottsdale Rd, Suite A400, Paradise Valley, AZ 85253-5927 | 2009-10-13 |
| 1750527974 | Jennifer Stout | Physical Therapist | 5410 N Scottsdale Rd, Suite A-100, Paradise Valley, AZ 85253-5927 | 2008-12-17 |
| 1700039260 | Mary Alejandra Rodriguez | Acupuncturist | 5410 N Scottsdale Rd, Suite D100, Paradise Valley, AZ 85253-5927 | 2008-10-28 |
| 1144496910 | Pagona Xenos | Massage Therapist | 5410 N Scottsdale Rd, Suit D100, Paradise Valley, AZ 85253-5927 | 2008-05-01 |
| 1730359175 | Stephen P. Beals M.d., P.C. | Plastic Surgery | 5410 N Scottsdale Rd, Suite E-400, Paradise Valley, AZ 85253-5927 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| 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. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| 1982873311 | Arizona Oral Facial and Implant Surgery LLC | Oral & Maxillofacial Surgery | 2450 W Ray Rd Ste 1, Chandler, AZ 85224-3595 | 2008-02-29 |
| 1538358189 | Mark D. Pogue, M.d. D.d.s., P.C. | Oral & Maxillofacial Surgery | 8535 E Hartford Dr Ste 100, Scottsdale, AZ 85255-5443 | 2007-10-19 |
| 1114125267 | Associates In Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 3150 N Swan, Tucson, AZ 85712 | 2007-07-10 |
| 1861528465 | Sabah Kalamchi | Oral & Maxillofacial Surgery | 8112 N 87th Pl, Scottsdale, AZ 85258-4335 | 2007-02-26 |
| 1710025044 | Angelle M Casagrande | Oral & Maxillofacial Surgery | 3150 N Swan Road, Tucson, AZ 85712 | 2007-02-01 |
| 1619026564 | Woodlands Oral & Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 1635 S Plaza Way, Flagstaff, AZ 86001-7102 | 2007-01-09 |
| 1114940335 | Nish S Shah | Oral & Maxillofacial Surgery | 2450 W Ray Rd, Ste 1, Chandler, AZ 85224 | 2006-07-26 |
| 1255327169 | Mark Pogue | Oral & Maxillofacial Surgery | 8535 E Hartford Dr, Scottsdale, AZ 85255-5438 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
Please comment or provide details below to improve the information on PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.