Oral & Facial Surgeons Of Arizona
LBN: Oral & Facial Surgeons Of Arizona
Oral & Facial Surgeons Of Arizona is an health care organization with primary practice located at 5050 N. 40Th Street Suite 180, Phoenix AZ 85018. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral & Facial Surgeons Of Arizona can be contacted via phone (602) 957-0332, or through Sabol, Jon Gregory via phone (602) 957-0332.
Contact Information
Primary practice address
5050 N. 40Th Street Suite 180
Phoenix AZ 85018
Phone: (602) 957-0332
Fax: (602) 957-3282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6147 | Arizona |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6816 | Arizona |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Arizona |
Profile Details
| NPI number | 1568667061 |
|---|---|
| LBN Legal business name | Oral & Facial Surgeons Of Arizona |
| DBA Doing business as | |
| Authorized official | Sabol, Jon Gregory D.M.D., M.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Dec 28th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568667061 | NPPES |
| Arizona | MEDICAID | 083717 | |
| Arizona | MEDICAID | 931920 | |
| Arizona | MEDICAID | 089805 |
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