# NORTH VALLEY CENTER FOR ORAL AND IMPLANT SURGERY, P.C.

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

## Provider details

- **NPI number:** 1710133004
- **Authorized official:** DR. DONALD J JOHNSON DMD (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (602) 978-2890

## Contact information

- **Practice address:** 4025 W BELL RD, SUITE 9, PHOENIX, AZ 85053-2750
- **Practice address phone:** (602) 978-2890
- **Practice address fax:** (602) 978-5794
- **Mailing address:** 4025 W BELL RD, SUITE 9, PHOENIX, AZ 85053-2750
- **Mailing address phone:** (602) 978-2890
- **Mailing address fax:** (602) 978-5794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5583 | AZ | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 03/12/2009