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

Copper Basin Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1255175519

Copper Basin Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Gilbert, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2680 S Val Vista Dr Ste 164
Gilbert, AZ 85295-1638
Phone: (480) 855-3223
Show map & directions

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 number1255175519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Cochell — Insurance Coordinator · (480) 924-2369
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address2680 S Val Vista Dr Ste 164, Gilbert, AZ 85295-1638

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