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

Southwest Orofacial Group, Inc

Organization Dentist · NPI 1245620459

Southwest Orofacial Group, Inc is a Dentist in Phoenix, Arizona. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4350 E Ray Rd Ste 103
Phoenix, AZ 85044-4704
Phone: (602) 992-1486
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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
Dentist Taxonomy 122300000X
Orofacial Pain Dentistry Taxonomy 1223X2210X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1245620459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Therese Garvey — Owner · (602) 992-1486
NPI enumeratedJanuary 26, 2015
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address10214 N Tatum Blvd Ste A1100, Phoenix, AZ 85028-4243

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