SearchArizonaOral and Maxillofacial Surgery (Dentist)

Matthew Defelice, D.D.S

NPI 1013914696 · on the registry since 2005 · sole proprietor

Practice

Address
5315 E High St
Suite 119
Phoenix, AZ 85054
Phone
(480) 563-3960
Fax
(480) 563-3965
Organisation at this address
Robert Melvin Shull Md Pc
Desert Ridge Pediatric Dentistry
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona