Arizona Center for Oral Surgery, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ARIZONA CENTER FOR ORAL SURGERY, PLC

Practice address

18301 N 79TH Ave Ste 185
Glendale, AZ 85308-6093

Phone

(623) 931-9197

Fax

(623) 937-4385

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By 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. Donald Hoaglin, DDSNPI 1790838605

Title

Partner

Phone

(623) 931-9197

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, and the practitioner matching its NPPES authorized official.

• Donald R. Hoaglin, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Glendale, AZ
  • NPI 1790838605

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Gary K Lines, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, AZ
  • NPI 1588771125
  NPD (past)

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1659193852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE 185",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "623-931-9197",
            "fax_number": "623-937-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE 185",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "623-931-9197",
            "fax_number": "623-937-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR ORAL SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "HOAGLIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-931-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Dental Partners PLLC (Dobra Dental)

• Oral and Maxillofacial Surgery (Dentist) in Glendale, AZ
• Providers in Glendale, 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 Oct 29, 2024; 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.