# SOUTHWEST OROFACIAL GROUP, INC.

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

## Provider details

- **NPI number:** 1245620459
- **Authorized official:** THERESE GARVEY (OWNER)
- **Authorized official phone:** (602) 992-1486

## Contact information

- **Practice address:** 4350 E RAY RD STE 103, PHOENIX, AZ 85044-4704
- **Practice address phone:** (602) 992-1486
- **Mailing address:** 10214 N TATUM BLVD STE A1100, PHOENIX, AZ 85028-4243
- **Mailing address phone:** (602) 992-1486
- **Mailing address fax:** (602) 992-6604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | — |
| 1223X2210X | Orofacial Pain Dentistry | — | — | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 03/04/2026