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
20470 N LAKE PLEASANT RD STE 110, PEORIA, AZ 85382-9708
(602) 992-1486
(602) 992-6604
Mailing address
20470 N LAKE PLEASANT RD STE 110, PEORIA, AZ 85382-9708
(602) 992-1486
(602) 992-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/22/2015
Last updated
03/04/2026
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