Organization
SOUTHWEST OROFACIAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE GARVEY (OWNER)
(602) 992-1486
Entity
Organization
Contact information
Practice address
10214 N TATUM BLVD STE A1100, PHOENIX, AZ 85028-4243
(602) 992-1486
(602) 992-6604
Mailing address
10214 N TATUM BLVD STE A1100, PHOENIX, AZ 85028-4243
(602) 992-1486
(602) 992-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1607
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/02/2006
Last updated
03/04/2026
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