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

Sunrise Mountain Oral and Maxillofacial Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1447037304

Sunrise Mountain Oral and Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Glendale, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

20165 N 67th Ave Ste A102
Glendale, AZ 85308-7002
Phone: (602) 831-2115
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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 number1447037304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Becker — Oral And Maxillofacial Surgeon · (602) 831-2115
NPI enumeratedSeptember 13, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address17620 N 42nd Ln, Glendale, AZ 85308-2928

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