Organization Active NPI

Oral Facial Surgery Institute, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesa, AZ
National Provider Identifier
1508758657
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL FACIAL SURGERY INSTITUTE, PC
Practice address
2855 E Brown Rd Ste 5
Mesa, AZ 85213-4214
Phone
(480) 659-5977
Fax
(480) 219-0971
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Dr. Savannah Weedman, DDS, MDNPI 1770802613
Title
Director
Phone
(503) 568-0507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2855 E Brown Rd Ste 5
Mesa, AZ 85213-4214

Mailing address

2604 E Page Ave
Gilbert, AZ 85234-6311
Phone (503) 568-0507

National Provider Directory

National Provider Directory

Locations

2855 E Brown Rd
Ste 5
Mesa, AZ 85213
Phone (480) 659-5977

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1508758657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E PAGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346311",
            "telephone_number": "503-568-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134214",
            "telephone_number": "480-659-5977",
            "fax_number": "480-219-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL FACIAL SURGERY INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "WEEDMAN",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-568-0507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.