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SOUTHWEST ORAL SURGERY
NPI 1336689140
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since February 27, 2017
4600 E SHEA BLVD, #201, PHOENIX, AZ 85028(623) 792-5794(623) 792-5809 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Oral Surgery NPPES

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

SOUTHWEST ORAL SURGERY (NPI 1336689140) is a healthcare organization registered as an oral and maxillofacial surgery in Phoenix, Arizona and active in the NPI registry since February 2017. The organization lists Fawne Rogers, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1336689140
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHWEST CENTER FOR ORAL SURGERY, PLLC
Location Address4600 E SHEA BLVD, #201Phoenix, AZ 85028-6024
Mailing Address6677 W Thunderbird Rd Ste H120Glendale, AZ 85306-3726 · (623) 792-5794 · Fax (623) 792-5809
Phone(623) 792-5794
Fax(623) 792-5809
Organization SubpartYes
Authorized OfficialFawne RogersPractice Manager · (623) 792-5794
Enumeration DateFebruary 27, 2017
✔ NPI 1336689140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AZ · D8077✔ Licensed in AZ · D9133✔ Licensed in AZ · D3178
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.
4600 E SHEA BLVD, Phoenix, AZ 85028
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwest Oral Surgery

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TABITHA MACZIEWSKI OTR/L
Occupational Therapist
4600 E SHEA BLVD, SUITE 101
PHOENIX, AZ 85028
Maricopa County (602) 368-8601
MRS. CRYSTAL ANNE BROOKS MSCCCSLP
Speech-Language Pathologist
4600 E SHEA BLVD, SUITE 101
PHOENIX, AZ 85028
Maricopa County (602) 368-8601
MRS. ROBIN R GRIECO B.S.
Specialist/Technologist (Speech-Language Assistant)
4600 E SHEA BLVD, SUITE 101
PHOENIX, AZ 85028
Maricopa County (602) 619-6061
MRS. LAURA EILEEN SHIPLEY M.S., CCC-SLP
Speech-Language Pathologist
4600 E SHEA BLVD, UNIT 101
PHOENIX, AZ 85028
Maricopa County (602) 368-8601
BETH A HIGGINS M.S.
Speech-Language Pathologist
4600 E SHEA BLVD, SUITE 101
PHOENIX, AZ 85028
Maricopa County (480) 244-4900
KATHLEEN OATIS AMBROSE
Speech-Language Pathologist
4600 E SHEA BLVD, UNIT 101
PHOENIX, AZ 85028
Maricopa County (602) 368-8601
EMILY PIERSON OTR
Occupational Therapist
4600 E SHEA BLVD, STE. 101
PHOENIX, AZ 85028
Maricopa County (623) 734-7872
KIRSTEN BETHANCOURT DPT
Physical Therapist (Pediatrics)
4600 E SHEA BLVD, SUITE 101
PHOENIX, AZ 85028
Maricopa County (602) 368-8601

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 Southwest Center For Oral Surgery, PLLC's NPI number?

The NPI number for Southwest Center For Oral Surgery, PLLC is 1336689140. It was assigned to this organization in the NPPES registry on February 27, 2017. The provider is doing business as Southwest Oral Surgery.

Where is Southwest Center For Oral Surgery, PLLC located?

Southwest Center For Oral Surgery, PLLC is located at 4600 E Shea Blvd #201, Phoenix, AZ 85028. The listed phone number is (623) 792-5794.

What is Southwest Center For Oral Surgery, PLLC'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 Southwest Center For Oral Surgery, PLLC was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.