Organization Active NPI

Buckeye Dental Implants & Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Buckeye, AZ
National Provider Identifier
1942057583
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
BUCKEYE DENTAL IMPLANTS & ORAL SURGERY
Practice address
865 S Watson Rd Ste 218
Buckeye, AZ 85326-3470
Phone
(623) 304-7701
Fax
(623) 304-0177
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Dr. Harrison D Fryberg, DDSNPI 1710419353
Title
Owner
Phone
(310) 595-4903

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 & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

865 S Watson Rd Ste 218
Buckeye, AZ 85326-3470

Mailing address

865 S Watson Rd Ste 218
Buckeye, AZ 85326-3470
Phone (623) 704-7701

National Provider Directory

National Provider Directory

Locations

865 S Watson Rd
Ste 218
Buckeye, AZ 85326
Phone (623) 304-7701

865 S Watson Rd
Buckeye, AZ 85326
Phone (623) 974-0522

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": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1942057583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 S WATSON RD STE 218",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263470",
            "telephone_number": "623-704-7701",
            "fax_number": "623-304-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S WATSON RD STE 218",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263470",
            "telephone_number": "623-304-7701",
            "fax_number": "623-304-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DENTAL IMPLANTS & ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "FRYBERG",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-595-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

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