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SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC
NPI 1629546171
Oral & Maxillofacial Surgery in San Tan Valley, AZ

Active since November 02, 2018
36327 N GANTZEL RD, SUITE 102, SAN TAN VALLEY, AZ 85140(480) 814-9500(520) 210-0442 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Tan Valley Oral Facial And Implant Surgery Pllc NPPES

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

SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC (NPI 1629546171) is a healthcare organization registered as an oral & maxillofacial surgery in San Tan Valley, Arizona and active in the NPI registry since November 2018. The organization lists Nishith S Shah, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1629546171
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC
Location Address36327 N GANTZEL RD, SUITE 102San Tan Valley, AZ 85140
Mailing Address2450 W Ray Rd Ste 1Chandler, AZ 85224-3595 · (480) 814-9500 · Fax (480) 814-9501
Phone(480) 814-9500
Fax(520) 210-0442
Organization SubpartNo
Authorized OfficialNishith S ShahDoctor/owner · (480) 814-9500
Enumeration DateNovember 2, 2018
✔ NPI 1629546171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
36327 N GANTZEL RD, San Tan Valley, AZ 85140
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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 San Tan Valley Oral Facial And Implant Surgery PLLC's NPI number?

The NPI number for San Tan Valley Oral Facial And Implant Surgery PLLC is 1629546171. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is San Tan Valley Oral Facial And Implant Surgery PLLC located?

San Tan Valley Oral Facial And Implant Surgery PLLC is located at 36327 N Gantzel Rd Suite 102, San Tan Valley, AZ 85140. The listed phone number is (480) 814-9500.

What is San Tan Valley Oral Facial And Implant Surgery PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for San Tan Valley Oral Facial And Implant Surgery PLLC was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.