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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW ADAM DEFELICE, D.D.S.

Active Sole Proprietor

DR. MATTHEW ADAM DEFELICE, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in PHOENIX, Arizona. NPI 1013914696 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PHOENIX, AZ

Registration Details

NPI Number
1013914696
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2005 (21.08716955874 yrs)
Last Updated
Feb 27, 2017
License
5196 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5315 E HIGH ST
SUITE 119
PHOENIX, AZ, 850545438
Browse AZ providers · Browse ZIP 85054
Phone
4805633960
Fax
4805633965
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in PHOENIX, AZ

Name Credential NPI
DR. JALEH TINA KEYHANI D.D.S. 1043214448
DR. JACK A. BUHROW D.D.S,, M.S. 1609858356
DR. BRIAN REX SCHNEIDER D.D.S. M.D. 1396724308
DR. DAVID MARC HARMATZ D.M.D 1053382374
CHARLES BRIAN SPRIGGS D.D.S 1346209103
DR. JOHN MALCOLM GILLIS DMD 1083673610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.