| Oral & Facial Surgeons Of Arizona | |
|
5050 N. 40th Street Suite 180 Phoenix AZ 85018 | |
| (602) 957-0332 | |
| (602) 957-3282 |
| Full Name | Oral & Facial Surgeons Of Arizona |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5050 N. 40th Street, Phoenix, Arizona |
| Authorized Official Name and Position | Jon Gregory Sabol (OWNER) |
| Authorized Official Contact | 6029570332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgeons Of Arizona 5050 N. 40th Street Suite 180 Phoenix AZ 85018 Ph: (602) 957-0332 | Oral & Facial Surgeons Of Arizona 5050 N. 40th Street Suite 180 Phoenix AZ 85018 Ph: (602) 957-0332 |
| NPI Number | 1568667061 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568667061 | NPI | - | NPPES |
| 083717 | Medicaid | AZ | |
| 931920 | Medicaid | AZ | |
| 089805 | Medicaid | AZ |
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