1. Home
  2. Directory
  3. Arizona
  4. Buckeye
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. HARRISON DANIEL FRYBERG D.D.S.
NPI 1710419353
Oral & Maxillofacial Surgery in Buckeye, AZ

Active since April 02, 2017Opted out of Medicare · through Dec 1, 2027
865 S WATSON RD STE 218, BUCKEYE, AZ 85326(623) 304-7701 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jun 21, 2021, Apr 2, 2017 (3 updates tracked since 2017).

About Dr. Harrison Daniel Fryberg D.d.s. NPPES

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

DR. HARRISON DANIEL FRYBERG D.D.S. (NPI 1710419353) is an individual oral & maxillofacial surgery provider in Buckeye, Arizona, licensed in Arizona (D011035) and active in the NPI registry since April 2017. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710419353
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. HARRISON DANIEL FRYBERGCredential: D.D.S.
Location Address865 S WATSON RD STE 218Buckeye, AZ 85326-3470
Mailing Address7160 E Kierland Blvd Apt 811Scottsdale, AZ 85254-2995 · (310) 595-4903
Phone(623) 304-7701
Sole ProprietorNo
Enumeration DateApril 2, 2017
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1710419353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in AZ · D011035✔ Licensed in CA · 102128
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D011035 (AZ), 102128 (CA)
865 S WATSON RD STE 218, Buckeye, AZ 85326
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Harrison Daniel Fryberg D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2023 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2023
Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

BUCKEYE DENTAL IMPLANTS & ORAL SURGERY
Oral & Maxillofacial Surgery
865 S WATSON RD STE 218
BUCKEYE, AZ 85326
Maricopa County (623) 304-7701

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 Harrison Fryberg's NPI number?

The NPI number for Harrison Fryberg is 1710419353. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Harrison Fryberg located?

Harrison Fryberg practices at 865 S Watson Rd Ste 218, Buckeye, AZ 85326. The listed phone number is (623) 304-7701.

What is Harrison Fryberg's specialty?

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

Is Harrison Fryberg enrolled in Medicare?

No. Harrison Fryberg has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Harrison Fryberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 4 other insurers list Harrison Fryberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harrison Fryberg was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.