OrganizationActive
Phoenix Maxillofacial Trauma Associates, LLC
NPI 1114355575 · Oral & Maxillofacial Surgery (D.M.D.) · Paradise Valley, AZ
Provider details
- NPI number
- 1114355575
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicolas Bebeau, Owner(480) 300-7152
- License
- 47593 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5410 N Scottsdale Rd
Suite B-110
Paradise Valley, AZ 85253-5927
Phone: (480) 300-7152
Fax: (480) 725-0228
Approximate (ZIP-level) locationGet directions
Mailing address
5410 N Scottsdale Rd
Paradise Valley, AZ 85253-5927
Registry dates
- Enumerated
- 2013-10-23
- Last updated
- 2013-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.