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

Southwest Center for Oral Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1336689140

Southwest Center for Oral Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
3
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4600 E Shea Blvd #201
Phoenix, AZ 85028-6024
Phone: (623) 792-5794
Fax: (623) 792-5809
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D8077 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D9133 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D3178 (AZ)

Record details

NPI number1336689140
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthwest Center for Oral Surgery, PLLC
Authorized official Fawne Rogers — Practice Manager · (623) 792-5794
Other names Southwest Oral Surgery
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing address6677 W Thunderbird Rd Ste H120, Glendale, AZ 85306-3726

Other providers in Phoenix