ORAL AND FACIAL SURGERY CENTER OF PRESCOTT
NPI 1275925265
Dentist - Oral and Maxillofacial Surgery in Prescott, AZ

Active since February 27, 2015
5415 DISTICTION WAY, PRESCOTT, AZ 86301(205) 470-0047 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral And Facial Surgery Center Of Prescott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL AND FACIAL SURGERY CENTER OF PRESCOTT (NPI 1275925265) is a healthcare organization registered as an oral and maxillofacial surgery in Prescott, Arizona and active in the NPI registry since February 2015. The organization lists Benjamin Abt, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1275925265
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND FACIAL SURGERY CENTER OF PRESCOTT
Location Address5415 DISTICTION WAYPrescott, AZ 86301
Mailing Address5415 Distiction WayPrescott, AZ 86301
Organization SubpartNo
Authorized OfficialBenjamin AbtOwner/provider · (205) 470-0047
Enumeration DateFebruary 27, 2015
Last NPPES UpdateJuly 23, 2015
NPI 1275925265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AZ · 8911
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5415 DISTICTION WAY, Prescott, AZ 86301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral And Facial Surgery Center Of Prescott's NPI number?

The NPI number for Oral And Facial Surgery Center Of Prescott is 1275925265. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Oral And Facial Surgery Center Of Prescott located?

Oral And Facial Surgery Center Of Prescott is located at 5415 Distiction Way, Prescott, AZ 86301. The listed phone number is (205) 470-0047.

What is Oral And Facial Surgery Center Of Prescott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Oral And Facial Surgery Center Of Prescott was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.