# LINES OROFACIAL SPECIALISTS PLC

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

## Provider details

- **NPI number:** 1831217132
- **Authorized official:** MR. PAUL A. LINES DDS (PRESIDENT)
- **Authorized official phone:** (480) 968-3848

## Contact information

- **Practice address:** 2415 S RURAL RD, \#B, TEMPE, AZ 85282-2440
- **Practice address phone:** (480) 968-3848
- **Practice address fax:** (480) 967-8669
- **Mailing address:** 2415 S RURAL RD, \#B, TEMPE, AZ 85282-2440
- **Mailing address phone:** (480) 968-3848
- **Mailing address fax:** (480) 967-8669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | AZ1556 AND AZ2288 | AZ | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020
