# JACK A BUHROW DDS MS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154596187
- **Authorized official:** MS. SUZANNE M BUHROW RN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (602) 957-0332

## Contact information

- **Practice address:** 4202 N 32ND ST, SUITE A, PHOENIX, AZ 85018-4746
- **Practice address phone:** (602) 957-0332
- **Practice address fax:** (602) 957-3282
- **Mailing address:** 4202 N 32ND ST, SUITE A, PHOENIX, AZ 85018-4746
- **Mailing address phone:** (602) 957-0332
- **Mailing address fax:** (602) 957-3282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 1939 | AZ | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008