NPI 1114355575

Phoenix Maxillofacial Trauma Associates, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Paradise Valley, AZ

Practice location

Address: 5410 N Scottsdale Rd Suite B-110, Paradise Valley, AZ 85253-5927
Phone: (480) 300-7152
Fax: (480) 725-0228

Authorised official

Name: Nicolas Philippe Bebeau
Title: Owner
Phone: (480) 300-7152

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 47593 (AZ)

Other Oral & Maxillofacial Surgery providers in Arizona →

Registry record

NPI: 1114355575
Entity type: Organization
NPI issued: 23 Oct 2013
Record last updated: 23 Oct 2013

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.