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Contact Information

SOUTHWEST OROFACIAL GROUP, INC.
10214 N TATUM BLVD STE A1100
PHOENIX, AZ85028-4243
 Phone: 602-992-1486
 Fax: 602-992-6604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Dentist

122300000X
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for SOUTHWEST OROFACIAL GROUP, INC.

NPI # 1487733572
LBN Legal business name SOUTHWEST OROFACIAL GROUP, INC.
Authorized official THERESE GARVEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 03/04/2026 - About 3 months ago
Identifiers
AZ License # 1607
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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