Anthem Center for Oral Facial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D6337 Issued in AZ

Legal business name

ANTHEM CENTER FOR ORAL FACIAL SURGERY PC

Practice address

42104 N Venture Dr Ste A106
Anthem, AZ 85086-3824

Phone

(623) 551-6556

Fax

(623) 551-6557

NPI assigned

Jul 6, 2012

Last updated

Jul 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Dorfman, DMD, MDNPI 1609871094

Title

Owner

Phone

(623) 551-6556

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Dorfman, D.M.D., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Anthem, AZ
  • NPI 1609871094
  Authorized official Same address or phone

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1396000394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE A106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863824",
            "telephone_number": "623-551-6556",
            "fax_number": "623-551-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE A106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863824",
            "telephone_number": "623-551-6556",
            "fax_number": "623-551-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM CENTER FOR ORAL FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-551-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D6337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Medical Senior Care LLC
• Cynthia Kathleen Anaya, DENTAL HYGIENE
• Clint Jeffrey Anderson
• Angel Pediatrics PLLC
• Ann Marie D'Onofrio (None)
• Anthem Counseling, LLC
• Anthem Dental Care
• Anthem Dental, LLC (Classical Dentistry of Arizona)
• Anthem Dentist
• Anthem Dentistry LLC

• Oral and Maxillofacial Surgery (Dentist) in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.