| NPI | 1245620459 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-01-26 |
| Last Updated | 2026-03-04 |
| Authorized Official | Therese Garvey Owner Phone: 6029921486 |
| Mailing Address | 10214 N Tatum Blvd Ste A1100 Phoenix, AZ 85028-4243 United States Phone: (602) 992-1486 | Fax: (602) 992-6604 📍 View Map |
| Primary Practice Address | 4350 E Ray Rd Ste 103 Phoenix, AZ 85044-4704 United States Phone: (602) 992-1486 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332BC3200X – Durable Medical Equipment & Medical Supplies, Customized Equipment | - | - |
| No | 1223X2210X – Dentist, Orofacial Pain | - | - |
| No | 122300000X – Dentist | - | - |
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | - | - |
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About NPI 1245620459
Southwest Orofacial Group, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1245620459. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The organization is located in Phoenix, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-01-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1245620459?
NPI 1245620459 belongs to Southwest Orofacial Group, Inc., a Dentist, Oral and Maxillofacial Surgery in Phoenix, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1245620459 active?
The current status of NPI 1245620459 in the NPPES registry is Active. The record was last updated on 2026-03-04.
What specialty is NPI 1245620459?
NPI 1245620459 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1245620459?
You can verify NPI 1245620459 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1245620459?
The primary practice address on file for NPI 1245620459 is 4350 E Ray Rd Ste 103, Phoenix, AZ 85044-4704. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1245620459 issued?
NPI 1245620459 was first issued (enumerated) on 2015-01-26. The NPPES record was last updated on 2026-03-04.
Practice Location Map
Southwest Orofacial Group, Inc. is located at 4350 E Ray Rd Ste 103, Phoenix, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southwest Orofacial Group, Inc.. All records sourced from the CMS NPPES registry.