Billet Dermatology INC
Dermatology, MOHS-Micrographic Surgery in Glendale, AZ. Organization (NPI-2).
NPI number1942199500
StatusActive
Last updated in NPPESMay 8, 2026
Details
- NPI
- 1942199500
- Entity type
- Organization (NPI-2)
- Legal business name
- Billet Dermatology INC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- May 8, 2026
- Last updated
- May 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
5540 W Glendale Ave Ste A103Glendale, AZ 85301-2579
Phone 833-224-5538 · Fax 833-424-5538
Mailing address
6710 N 47th AveGlendale, AZ 85301-4121
Phone 833-224-5538 · Fax 833-424-5538
Other practice locations
13945 W Grand Ave Ste 101a
Surprise, AZ 85374-2437
Surprise, AZ 85374-2437
Phone 833-224-5538 · Fax 877-682-8388
Authorized official
Zachary Coronado
Administrator
6235219113
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