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

Scottsdale Facial & Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1861032005

Scottsdale Facial & Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Scottsdale, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3501 N Scottsdale Rd Ste 226
Scottsdale, AZ 85251-5630
Phone: (480) 941-5005
Fax: (480) 946-0268
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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 number1861032005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Jimenez — Financial Coordinator · (480) 941-5005
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing address3501 N Scottsdale Rd Ste 226, Scottsdale, AZ 85251-5630

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