SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC; NPI #1629546171

Contact Information

SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

36327 N GANTZEL RD
SUITE 102
SAN TAN VALLEY, AZ 85140

Phone: 480-814-9500
Fax: 520-210-0442
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

NPI #	`1629546171`
LBN Legal business name	SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC
Authorized official	NISHITH SHAH - (DOCTOR/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/02/2018
Last updated	11/02/2018 - About 8 years 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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SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

Reviews for SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC