NPI 1023593068
Oasis Oral and Facial Surgery PLLC
Practice location
- Address
- 21300 N John Wayne Pkwy STE 114, Maricopa, AZ 85139-8964
- Phone
- (520) 231-6700
- Fax
- (520) 208-9066
- Mailing address
- 21300 N. John Wayne Pkwy Ste.#114, Maricopa, AZ 85139-7834
Authorised official
- Name
- Jared Kenney
- Title
- Owner
- Phone
- (520) 231-6700
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1023593068
- Entity type
- Organization
- NPI issued
- 25 Sep 2018
- Record last updated
- 28 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.