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 1407398787

Southwest Center for Oral Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
3
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

6677 W Thunderbird Rd Ste H120
Glendale, AZ 85306-3709
Phone: (623) 792-5794
Fax: (623) 792-5809
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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 number1407398787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawne Rogers — Practice Manager · (623) 792-5794
Other names Southwest Oral Surgery
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 17, 2016
Mailing address6677 W Thunderbird Rd, Suite H120, Glendale, AZ 85306-3709

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