Organization Active NPI

Phoenix Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
National Provider Identifier
1730681776
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D01704 Issued in AZ
Legal business name
PHOENIX ORAL AND MAXILLOFACIAL SURGEONS
Practice address
9515 W Camelback Rd Ste 122
Phoenix, AZ 85037-1365
Phone
(623) 846-7557
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
David Paul Griffith, DMD
Title
Oral Surgeon
Phone
(623) 846-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D01704 AZ Primary

Addresses

Primary practice location

9515 W Camelback Rd Ste 122
Phoenix, AZ 85037-1365

Mailing address

9515 W Camelback Rd Ste 122
Phoenix, AZ 85037-1365

National Provider Directory

National Provider Directory

Locations

9515 W Camelback Rd
Ste 122
Phoenix, AZ 85037
Phone (602) 957-0337

Practitioners & affiliated clinicians

Practitioners 1

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": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1730681776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371365",
            "telephone_number": "623-846-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ORAL AND MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "623-846-7557",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D01704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.