Arrowhead Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D5314 Issued in AZ

Legal business name

ARROWHEAD ORAL & MAXILLOFACIAL SURGERY

Practice address

18555 N 79TH Ave
#A103
Glendale, AZ 85308-8370

Phone

(623) 412-0310

Fax

(623) 412-2188

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael G Allard, DDS.MD.NPI 1457547713

Title

President

Phone

(623) 412-0310

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G Allard, DDS.MD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, AZ
  • NPI 1457547713
  NPD (past) Authorized official
• Staphie Delene Turner, PRIVATE SCRUB

  • Specialist
  • Glendale, AZ
  • NPI 1548480932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1023166360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "#A103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-412-0310",
            "fax_number": "623-412-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "#A103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-412-0310",
            "fax_number": "623-412-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ALLARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-412-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.MD."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AZ",
            "license": "D5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowhead Lakes Dentistry P C
• Arrowhead Medical and Aesthetic Center LLC
• Arrowhead Medical Inc.
• Arrowhead North Surgery Center, LLC
• Arrowhead Optometry
• Arrowhead Outpatient Treatment Center LLC
• Arrowhead Outpatient Treatment Center LLC
• Arrowhead Pediatrics
• Arrowhead Pharmacy
• Arrowhead Plaza Dental Group PLC

• Oral and Maxillofacial Pathology Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Oral and Maxillofacial Pathology Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.