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DESERT RIDGE IMPLANT & ORAL SURGERY PC
NPI 1588960512
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since February 09, 2011
20950 N TATUM BLVD, STE. 120, PHOENIX, AZ 85050(480) 563-3960(480) 563-3965 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desert Ridge Implant & Oral Surgery Pc NPPES

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

DESERT RIDGE IMPLANT & ORAL SURGERY PC (NPI 1588960512) is a healthcare organization registered as an oral and maxillofacial surgery in Phoenix, Arizona and active in the NPI registry since February 2011. The organization lists Matthew A. Defelice, Owner, as its authorized official.

NPPES Registry Identity

NPI1588960512
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDESERT RIDGE IMPLANT & ORAL SURGERY PC
Location Address20950 N TATUM BLVD, STE. 120Phoenix, AZ 85050-4200
Mailing Address20950 N Tatum Blvd, Ste. 120Phoenix, AZ 85050-4200 · (480) 563-3960 · Fax (480) 563-3965
Phone(480) 563-3960
Fax(480) 563-3965
Organization SubpartNo
Authorized OfficialMatthew A. DefeliceOwner · (480) 563-3960
Enumeration DateFebruary 9, 2011
Last NPPES UpdateApril 4, 2011
✔ NPI 1588960512 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 · 5196
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.
20950 N TATUM BLVD, Phoenix, AZ 85050
Open in Google Maps ↗

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

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.

NEXTCARE ARIZONA LLC
Clinic/Center (Urgent Care)
20950 N TATUM BLVD, STE. 190
PHOENIX, AZ 85050
Maricopa County (800) 819-8566
DESERT RIDGE ORAL,FACIAL & IMPLANT SURGERY, PLLC
Dentist (Oral and Maxillofacial Surgery)
20950 N TATUM BLVD, SUITE 120
PHOENIX, AZ 85050
Maricopa County (480) 563-3960
MEDINA MD PC
Internal Medicine
20950 N TATUM BLVD, SUITE 270
PHOENIX, AZ 85050
Maricopa County (623) 332-4974
HEART RHYTHM SPECIALIST OF AZ
Internal Medicine (Cardiovascular Disease)
20950 N TATUM BLVD, 270
PHOENIX, AZ 85050
Maricopa County (602) 481-9318
BARBARA CAPONE PT, MBA
Physical Therapist
20950 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85050
Maricopa County (480) 502-5510
C BENJAMIN EVANS MD LLC
Internal Medicine
20950 N TATUM BLVD, STE. 270
PHOENIX, AZ 85050
Maricopa County (602) 791-9112
MR. TREIS R LUM DO
General Practice
20950 N TATUM BLVD, SUITE 190
PHOENIX, AZ 85050
Maricopa County (480) 776-0022
MR. JASON W ARNETT P.A.
Physician Assistant
20950 N TATUM BLVD, SUITE 350
PHOENIX, AZ 85050
Maricopa County (480) 502-6651

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 Desert Ridge Implant & Oral Surgery PC's NPI number?

The NPI number for Desert Ridge Implant & Oral Surgery PC is 1588960512. It was assigned to this organization in the NPPES registry on February 9, 2011.

Where is Desert Ridge Implant & Oral Surgery PC located?

Desert Ridge Implant & Oral Surgery PC is located at 20950 N Tatum Blvd Ste. 120, Phoenix, AZ 85050. The listed phone number is (480) 563-3960.

What is Desert Ridge Implant & Oral Surgery PC'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 Desert Ridge Implant & Oral Surgery PC was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.