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

Trauma & Reconstructive Upper Extremity Specialists PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1235501370

Trauma & Reconstructive Upper Extremity Specialists PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
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

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone: (602) 222-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 28314 (AZ)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 28314 (AZ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 28314 (AZ)

Record details

NPI number1235501370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine White — Cpa Agent · (602) 222-5611
NPI enumeratedOctober 28, 2015
Last updated in NPPESDecember 28, 2015
Mailing address370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254

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