MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA NPI 1003287129

NPI Information

  • NPI: 1003287129
  • Provider Name: MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: MOSAIC
  • Address: 2535 LANDMARK DR STE 105
    CLEARWATER, FL
    ZIP 33761
  • Phone: (727) 791-6529

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NPI Details

MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA is an oral and maxillofacial surgery dentist in Clearwater, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA NPI is 1003287129. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mosaic.

The provider's business location address is:

2535 LANDMARK DR STE 105
CLEARWATER, FL
ZIP 33761-930
Phone: (727) 791-6529

The provider's authorized official is Mark Wayne Mitchell .
The authorized official title is Owner and has the following contact phone number (727) 842-5180.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDN10802FLORIDAYes

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This page was last updated on: 3/30/2025

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