OrganizationActive
Billet Dermatology Inc
NPI 1942199500 · MOHS-Micrographic Surgery Physician · Glendale, AZ
Provider details
- NPI number
- 1942199500
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Zachary Coronado, Administrator(623) 521-9113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
5540 W Glendale Ave Ste A103
Glendale, AZ 85301-2579
Phone: (833) 224-5538
Fax: (833) 424-5538
Approximate (ZIP-level) locationGet directions
Mailing address
6710 N 47th Ave
Glendale, AZ 85301-4121
Additional practice locations (1)
- 13945 W Grand Ave Ste 101aSurprise, AZ 85374-2437Phone: (833) 224-5538Fax: (877) 682-8388
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.