ARIZONA MAXILLOFACIAL SURGEONS, PC (NPI# 1932132651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932132651 |
| Entity Type | Organization |
| Organization Name | ARIZONA MAXILLOFACIAL SURGEONS, PC |
| Practice Address |
6755 E Superstition Springs Blvd Suite 103 Mesa AZ 85206-4373 |
| Practice Telephone | 4808305866 |
| Practice Fax Number | 4808070606 |
| Mailing Telephone | 4808305866 |
| Mailing Fax Number | 4808070606 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DAWNA J SUTHERLAND (BUSINESS MANAGER) |
| Authorized Official Telephone | 4808305866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
6755 E SUPERSTITION SPRINGS BLVD SUITE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795282 | Paul Wadley Haycock | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2005-07-28 |
| 1063649192 | East Valley Periodontics | Dentist | 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 | 2009-06-16 |
| 1821242082 | Morley J. Smith, Dmd, PC | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2008-11-13 |
| 1841491255 | Treven B Rollins | Dentist | 6755 E Superstition Springs Blvd, Ste 0201, Mesa, AZ 85206 | 2007-05-31 |
| 1245447499 | Arlon M Petersen | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-05-17 |
| 1063637197 | Rollins & Petersen Orthodontics Plc | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-04-16 |
| 1558584045 | Mark S. Hamblin | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-11 |
| 1144342155 | Mark S. Hamblin, D.d.s., P.C. | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-03 |
| 1558493460 | Dickerson Enterprises, Incorporated | Dentist | 6755 E Superstition Springs Blvd, Suite 203, Mesa, AZ 85206-4373 | 2007-03-09 |
| 1366531402 | Derrick J Dickerson | Dentist | 6755 E Superstition Springs Blvd, 203, Mesa, AZ 85206 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1972823029 | Gregory Romney | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2010-06-10 |
| 1497935514 | Brian Cahill, D.d.s., Inc | Dentist | 4540 E Baseline Rd Ste 101, Mesa, AZ 85206-4616 | 2007-11-06 |
| 1760098123 | Az Max Dental Implants Plc | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2020-09-21 |
| 1528530284 | Az Max Surgeons Plc | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2018-12-19 |
| 1386939148 | Michael D Elliott Dmd PC | Dentist | 564 W 9th Pl, Suite One, Mesa, AZ 85201-4069 | 2011-06-09 |
| 1053631309 | An Elegant Smile P.C. | Dentist | 1425 S Greenfield Rd, Bldg 2 Ste 110, Mesa, AZ 85206-5529 | 2010-06-09 |
| 1790828606 | Edward H Christensen | Dentist | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2007-02-14 |
| 1922168673 | Joseph Grant Johansen | Dentist | 3048 E Baseline Rd, Suite #105, Mesa, AZ 85204-7286 | 2006-12-11 |
| 1760469787 | Michael Dotson Elliott | Dentist | 564 W 9th Pl, Suite 1, Mesa, AZ 85201-4069 | 2005-12-30 |
| Find all providers in MESA | ||||
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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.