AFFILIATED ORAL & MAXILLOFACIAL SURGEONS PC (NPI# 1013023928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013023928 |
| Entity Type | Organization |
| Organization Name | AFFILIATED ORAL & MAXILLOFACIAL SURGEONS PC |
| Practice Address |
5750 W Thunderbird H-850 Glendale AZ 85306 |
| Practice Telephone | 6029380880 |
| Practice Fax Number | 6025470528 |
| Mailing Telephone | 6029380880 |
| Mailing Fax Number | 6025470528 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES G BODE (ORAL SURGEON) |
| Authorized Official Telephone | 6029380880 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2579 | AZ | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5950 | AZ | Dental Providers |
| Street Address |
5750 W THUNDERBIRD H-850 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506077 | Isabel Feinstein | Otolaryngology | 5750 W Thunderbird, Suite A-100, Glendale, AZ 85306 | 2005-08-24 |
| 1205996667 | Glendale Obstetrics and Gynecology PC | Obstetrics & Gynecology | 5750 W Thunderbird, Suite D400, Glendale, AZ 85306 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945366 | Phoenix Wisdom Teeth, LLC | Dentist | 17037 N 43rd Ave # A4a, Glendale, AZ 85308-4026 | 2020-09-04 |
| 1750738555 | Omar Kholaki | Dentist | 3863 Sky View Ln, Glendale, CA 91214-1006 | 2016-05-21 |
| 1891182507 | Armand Keuroghlian | Dentist | 1044 Trafalger Dr, Glendale, CA 91207-1140 | 2015-04-20 |
| 1932518107 | Ara Mirzaians | Dentist | 500 N Central Ave Ste 710, Glendale, CA 91203-3386 | 2014-08-12 |
| 1134567381 | Eric Edward Saiz | Dentist | 6677 W Thunderbird Rd Ste H120, Glendale, AZ 85306-3726 | 2013-06-10 |
| 1376841015 | Christopher P. Mcaboy Dds, LLC | Dentist | 377 W River Woods Pkwy # 120, Glendale, WI 53212-1088 | 2011-03-04 |
| 1508196437 | Peter S Nelson | Dentist | 5750 W Thunderbird Rd Ste H850, Glendale, AZ 85306-4694 | 2009-12-25 |
| 1396868774 | Armond Kotikian | Dentist | 242 N. Glendale Ave, Glendale, CA 91206 | 2007-04-09 |
| 1316081623 | Hamlet Charmahali Garabedian | Dentist | 242 N Glendale Ave, Glendale, CA 91206-4454 | 2007-02-19 |
| 1689725780 | Joseph F Goodsell | Dentist | 1146 N Brand Blvd, Glendale, CA 91202-2504 | 2007-01-15 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.