Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desert Ridge Oral, Facial & Implant Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1215363320

Desert Ridge Oral, Facial & Implant Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20950 N Tatum Blvd Ste 120
Phoenix, AZ 85050-4200
Phone: (480) 563-3960
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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 · Licence D6337 (AZ)

Record details

NPI number1215363320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Dorfman — Owner · (480) 563-3960
NPI enumeratedSeptember 20, 2013
Last updated in NPPESSeptember 20, 2013
Mailing address20950 N Tatum Blvd, Suite 120, Phoenix, AZ 85050-4200

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