NPI 1629546171

San Tan Valley Oral Facial and Implant Surgery PLLC

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

Practice location

Address: 36327 N Gantzel Rd Suite 102, San Tan Valley, AZ 85140
Phone: (480) 814-9500
Fax: (520) 210-0442
Mailing address: 2450 W Ray Rd STE 1, Chandler, AZ 85224-3595

Authorised official

Name: Nishith S Shah
Title: Doctor/Owner
Phone: (480) 814-9500

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Arizona →

Registry record

NPI: 1629546171
Entity type: Organization
NPI issued: 2 Nov 2018
Record last updated: 2 Nov 2018

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.