# ADVANCED IMPLANT AND ORAL SURGERY

> 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
- **Other names:** Sonoma Oral and Facial Surgery of Yuma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942703657
- **Authorized official:** DR. PETER A SPANGANBERG DDS (OWNER)
- **Authorized official phone:** (480) 279-3113

## Contact information

- **Practice address:** 1325 W 16TH ST STE 3, YUMA, AZ 85364-4496
- **Practice address phone:** (928) 329-6447
- **Practice address fax:** (928) 782-8036
- **Mailing address:** 1325 W 16TH ST STE 3, YUMA, AZ 85364-4496
- **Mailing address phone:** (928) 329-6447
- **Mailing address fax:** (928) 782-8036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 04/17/2018