ORAL & FACIAL SURGEONS OF ARIZONA


Address: 5050 N. 40th Street, Suite 180, Phoenix, AZ 85018
Phone: 6029570332

ORAL & FACIAL SURGEONS OF ARIZONA (NPI# 1568667061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568667061
Entity Type Organization
Organization Name ORAL & FACIAL SURGEONS OF ARIZONA
Practice Address 5050 N. 40th Street
Suite 180
Phoenix
AZ 85018
Practice Telephone 6029570332
Practice Fax Number 6029573282
Mailing Telephone 6029570332
Mailing Fax Number 6029573282
Enumeration Date 2007-06-15
Last Update Date 2017-12-28
Authorized Official Name DR. JON GREGORY SABOL (OWNER)
Authorized Official Telephone 6029570332
Authorized Official Credential D.M.D., M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6816 AZ Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6147 AZ Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
AZ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 089805 05
AZ 083717 05
AZ 931920 05

Office Location

Street Address 5050 N. 40TH STREET
SUITE 180
City PHOENIX
State AZ
Zip Code 85018

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467098483 Skyfalls LLC Plastic Surgery 3723 E Sells Drive, Phoenix, AZ 85018 2019-11-25
1568944148 Avicenna Integrative Medicine Plc Internal Medicine 4429 N 44th St, Phoenix, AZ 85018 2018-08-30
1124547682 Consulting Options, LLC Orthopaedic Surgery 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 2017-09-15
1902322472 Saskia Soliz Behavioral Analyst 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 2017-08-16
1700233418 Harriet Frost Marriage & Family Therapist 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 2016-05-23
1356733547 Margaret Murphy Conley Acupuncturist 3040 N 44th St Ste 3, Phoenix, AZ 85018 2015-02-24
1457766792 Anne Marie Hatch Psychiatry & Neurology 5090 N 40th St Ste 250a, Phoenix, AZ 85018 2014-06-25
1972848315 Crystal M Ostermeyer Physician Assistant 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 2012-12-11
1699029652 Monte Vista School Local Education Agency (LEA) 3501 E. Osborn Road, Phoenix, AZ 85018 2012-10-30
1962754028 Jill R. Zweig D.o., PC Psychiatry & Neurology 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 2012-10-12
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730681776 Phoenix Oral and Maxillofacial Surgeons Dentist 9515 W Camelback Rd Ste 122, Phoenix, AZ 85037-1365 2018-03-06
1861993040 Joseph E. Pierse, Dmd, Pllc Dentist 2060 W Whispering Wind Dr Ste 167, Phoenix, AZ 85085-2869 2018-02-23
1508253014 Benjamin Noel Zuniga Dentist 3542 W Camelback Rd, Phoenix, AZ 85019 2015-04-22
1730450677 Aria Dental Center LLC Dentist 12320 N 32nd St Ste 2, Phoenix, AZ 85032-7154 2012-01-24
1285873125 An Elegant Smile P.C. Dentist 4550 E Bell Rd Ste 8-178, Phoenix, AZ 85032-9306 2009-02-17
1740486737 Amogh Velangi Dentist 706 E Bell Rd Ste 106, Phoenix, AZ 85022-6641 2007-06-26
1003038571 Bogdan Michael Kulikowski Dentist 15215 S 48th Street, Suite #158, Phoenix, AZ 85044-9139 2007-05-03
1912121930 Steven K. Ingersoll Dds PC Dentist 10211 N 32nd St Ste A1, Phoenix, AZ 85028-3841 2007-04-12
1144381468 Reed H. Day Dentist 2222 E Highland Ave Ste 320, Phoenix, AZ 85016-4879 2006-12-12
1588759161 Ks Az-1, PC Dentist 3554 W Glendale Ave, Phoenix, AZ 85051-8358 2006-10-03
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Competitor

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City PHOENIX
Zip Code 85018

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Dataset Information

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.

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