# ANTHEM ORAL SURGERY & IMPLANT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANTHEM ORAL SURGERY & IMPLANT CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871013524
- **Legal business name:** ANTHEM ORAL SURGERY & IMPLANT CENTER
- **Authorized official:** DR. BROWN HARRIS III (SURGEON)
- **Authorized official phone:** (480) 575-0844

## Contact information

- **Practice address:** 42104 N VENTURE DR, ANTHEM, AZ 85086-3823
- **Practice address phone:** (480) 575-0844
- **Mailing address:** 30012 N CAVE CREEK RD STE 103, CAVE CREEK, AZ 85331-5833
- **Mailing address phone:** (480) 575-0844
- **Mailing address fax:** (480) 575-0845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D5779 | AZ | Yes |

## Other

- **Enumeration date:** 06/23/2017
- **Last updated:** 06/27/2017