NOVA SOUTHEASTERN UNIVERSITY INC NPI 1093442824

NPI Information

  • NPI: 1093442824
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 1625 SE 3RD AVE STE 802
    FT LAUDERDALE, FL
    ZIP 33316
  • Phone: (954) 262-7500

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is an oral maxillofacial surgery in Ft Lauderdale, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1093442824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1625 SE 3RD AVE STE 802
FT LAUDERDALE, FL
ZIP 33316-521
Phone: (954) 262-7500

The provider's authorized official is Rosemery Estevez .
The authorized official title is Director Of Contracting and has the following contact phone number (954) 262-4343.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 3/27/2024.

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 SurgeryNo
2204E00000XOral & Maxillofacial SurgeryYes

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: 11/21/2025

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