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NPI 1922982404

NPI 1922982404 : PRECISION ORAL AND MAXILLOFACIAL SURGERY : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1922982404
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION ORAL AND MAXILLOFACIAL SURGERY 
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Dates
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    Enumeration Date     |    08/05/2025
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    2060 W WHISPERING WIND DR STE 167 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085-2869
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    Country              |    US
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    Telephone            |    623-518-2325
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2410 W HORSETAIL TRL 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085-7007
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    Country              |    US
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    Telephone            |    626-482-1398
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ORAL SURGEON
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    Name                 |    DR. AKBER MIR ALI 
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    Credential           |    DMD, MD
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    Telephone            |    626-482-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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