# YAVAPAI ORAL AND FACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1669885802
- **Authorized official:** MRS. KATHY S DRESHER (VP BILLING)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 8101 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8454
- **Practice address phone:** (928) 775-2545
- **Practice address fax:** (928) 775-2535
- **Mailing address:** PO BOX 258848, OKLAHOMA CITY, OK 73125-8848
- **Mailing address phone:** (877) 667-7669
- **Mailing address fax:** (405) 848-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D008900 | AZ | Yes |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014