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Contact Information

OASIS ORAL AND FACIAL SURGERY PLLC
21300 N JOHN WAYNE PKWY STE 114
MARICOPA, AZ85139-8964
 Phone: 520-231-6700
 Fax: 520-208-9066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OASIS ORAL AND FACIAL SURGERY PLLC

NPI # 1023593068
LBN Legal business name OASIS ORAL AND FACIAL SURGERY PLLC
Authorized official JARED KENNEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2018
Last updated 12/28/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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