OrganizationActive
San Tan Valley Oral Facial and Implant Surgery PLLC
NPI 1629546171 · Oral & Maxillofacial Surgery (D.M.D.) · San Tan Valley, AZ
Provider details
- NPI number
- 1629546171
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nishith Shah, Doctor/Owner(480) 814-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
36327 N Gantzel Rd
Suite 102
San Tan Valley, AZ 85140
Phone: (480) 814-9500
Fax: (520) 210-0442
Approximate (ZIP-level) locationGet directions
Mailing address
2450 W Ray Rd Ste 1
Chandler, AZ 85224-3595
Registry dates
- Enumerated
- 2018-11-02
- Last updated
- 2018-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.