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

DR. NINO DEMETRIUS POLLACCIA, DDS

Active

DR. NINO DEMETRIUS POLLACCIA, DDS is a Oral & Maxillofacial Surgery healthcare provider located in PEORIA, Arizona. NPI 1356462188 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PEORIA, AZ

Registration Details

NPI Number
1356462188
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2007 (19.39389232032 yrs)
Last Updated
Apr 8, 2022
Licenses
8941 (CO)
D010824 (AZ)

Practice Information

Address
10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ, 853832881
Browse AZ providers · Browse ZIP 85383
Phone
6232302297
Fax
6232393547
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in PEORIA, AZ

Name Credential NPI
DR. STUART S. SANDERS D.D.S. 1134194996
DR. GEORGIA MARIE PETERSON-HOULE DDS 1578642559
JAMES B EDWARDS 1609914209
ROZBEH HOSSIENI DDS 1043646698
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.