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.
Organization
PEORIA ORAL & IMPLANT SURGERY PLLC
Active
Organization
PEORIA ORAL & IMPLANT SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINO POLLACCIA DDS (OWNER)
(623) 230-2297
Entity
Organization
Contact information
Practice address
10210 W HAPPY VALLEY PKWY STE 150, PEORIA, AZ 85383-2881
(623) 230-2297
Mailing address
7926 W EMORY LN, PEORIA, AZ 85383-1024
(720) 470-1091
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
10/03/2017
Last updated
03/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers