SOUTHWEST OROFACIAL GROUP INC. NPI 1891184297

NPI Information

  • NPI: 1891184297
  • Provider Name: SOUTHWEST OROFACIAL GROUP, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 20470 N LAKE PLEASANT RD STE 110
    PEORIA, AZ
    ZIP 85382
  • Phone: (602) 992-1486

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NPI Details

SOUTHWEST OROFACIAL GROUP, INC. is a customized equipment durable medical equipment medical supplies in Peoria, AZ. SOUTHWEST OROFACIAL GROUP, INC. NPI is 1891184297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20470 N LAKE PLEASANT RD STE 110
PEORIA, AZ
ZIP 85382-708
Phone: (602) 992-1486
Fax: (602) 992-6604

The provider's authorized official is Therese Garvey .
The authorized official title is Owner and has the following contact phone number (602) 992-1486.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 8/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223X2210XDentistOrofacial PainNo
4332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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