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

Peoria Oral & Implant Surgery PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1497265516

Peoria Oral & Implant Surgery PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Peoria, Arizona. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10210 W Happy Valley Pkwy Ste 150
Peoria, AZ 85383-2881
Phone: (623) 230-2297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1497265516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nino Pollaccia — Owner · (623) 230-2297
NPI enumeratedOctober 3, 2017
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address7926 W Emory Ln, Peoria, AZ 85383-1024