# SANDSTONE ORAL MAXILLOFACIAL SURGERY PLLC

> 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:** 1497317275
- **Authorized official:** BRENT H BETHERS DDS (OWNER)
- **Authorized official phone:** (623) 439-2222

## Contact information

- **Practice address:** 20755 W MCDOWELL RD \# 111, BUCKEYE, AZ 85396-2070
- **Practice address phone:** (623) 439-2222
- **Mailing address:** 20755 W MCDOWELL RD \# 111, BUCKEYE, AZ 85396-2070
- **Mailing address phone:** (623) 439-2222

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 07/02/2019