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BAY CENTER FOR ORAL & IMPLANT SURGERY P.A. NPI 1073784872


NPI Information

NPI: 1073784872
Provider Name: BAY CENTER FOR ORAL & IMPLANT SURGERY, P.A.

Doing Business As: BAY CENTER FOR ORAL & IMPLANT SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
168 14TH ST SW
SUITE B
LARGO, FL
ZIP 33770
Phone: (727) 585-5494
Get Directions

BAY CENTER FOR ORAL & IMPLANT SURGERY, P.A. is an oral and maxillofacial surgery dentist in Largo, 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. BAY CENTER FOR ORAL & IMPLANT SURGERY, P.A. NPI is 1073784872. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bay Center For Oral & Implant Surgery.

The provider's business location address is:

168 14TH ST SW
SUITE B
LARGO, FL
ZIP 33770-103
Phone: (727) 585-5494
Fax: (727) 584-1820

The provider's authorized official is Jesse Jakubowski .
The authorized official title is Owner and has the following contact phone number (727) 585-5494.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 7/29/2022.


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 Surgery11822FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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