Provider Demographics
NPI:1407986672
Name:MAXILLOFACIAL SURGICAL CONSULTANTS LTD
Entity Type:Organization
Organization Name:MAXILLOFACIAL SURGICAL CONSULTANTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:APFEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-996-2225
Mailing Address - Street 1:4232 E CACTUS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7602
Mailing Address - Country:US
Mailing Address - Phone:602-996-2225
Mailing Address - Fax:602-996-8048
Practice Address - Street 1:4232 E CACTUS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7602
Practice Address - Country:US
Practice Address - Phone:602-996-2225
Practice Address - Fax:602-996-8048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23931223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty