DESERT RIDGE ORAL SURGERY INSTITUTE
NPI 1619693793
Clinic/Center in Phoenix, AZ

Q: What is Phoenix Oral Surgery Associates PLLC's NPI number?

The NPI number for Phoenix Oral Surgery Associates PLLC is 1619693793. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is also known as Desert Ridge Oral Surgery Institute.

Q: What is Phoenix Oral Surgery Associates PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 19, 2022

20950 N TATUM BLVD STE 200, PHOENIX, AZ 85050(480) 284-8087 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Desert Ridge Oral Surgery Institute NPPES

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

DESERT RIDGE ORAL SURGERY INSTITUTE (NPI 1619693793) is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since October 2022. The organization lists Vishtasb N/a Broumand, Owner, as its authorized official.

NPPES Registry Identity

NPI1619693793

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePHOENIX ORAL SURGERY ASSOCIATES PLLC

Location Address20950 N TATUM BLVD STE 200Phoenix, AZ 85050-4269

Mailing Address20950 N Tatum Blvd Ste 200Phoenix, AZ 85050-4269 · (480) 284-8087

Phone(480) 284-8087

Organization SubpartNo

Authorized OfficialVishtasb N/a BroumandOwner · (480) 284-8087

Enumeration DateOctober 19, 2022

NPPES CertifiedOctober 19, 2022

✔ NPI 1619693793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

20950 N TATUM BLVD STE 200, Phoenix, AZ 85050

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Other Names 1

Other NameDesert Ridge Oral Surgery Institute

Other Providers at the Same Location NPPES

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

MR. DYLAN JOSEPH HJERPE

Dental Assistant

20950 N TATUM BLVD STE 200
PHOENIX, AZ 85050

Maricopa County (480) 284-8087

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 Phoenix Oral Surgery Associates PLLC's NPI number?

The NPI number for Phoenix Oral Surgery Associates PLLC is 1619693793. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is also known as Desert Ridge Oral Surgery Institute.

Where is Phoenix Oral Surgery Associates PLLC located?

Phoenix Oral Surgery Associates PLLC is located at 20950 N Tatum Blvd Ste 200, Phoenix, AZ 85050. The listed phone number is (480) 284-8087.

What is Phoenix Oral Surgery Associates PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Oral Surgery Associates PLLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.