Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Center for Implants, Facial, and Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1063529394

Arizona Center for Implants, Facial, and Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Glendale, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

18301 N 79th Ave Ste G-185
Glendale, AZ 85308-8463
Phone: (623) 931-9197
Fax: (623) 937-4385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1063529394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Lines — Partner · (623) 931-9197
NPI enumeratedAugust 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address18301 N 79th Ave, Suite G-185, Glendale, AZ 85308-8463

Other providers in Glendale