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SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY NPI 1164504189


NPI Information

NPI: 1164504189
Provider Name: SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3400 BURNS RD
#103
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 624-7116
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SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Palm Beach Gardens, FL. The provider is the specialty of dentistry which includes 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. SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY NPI is 1164504189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 BURNS RD
#103
PALM BEACH GARDENS, FL
ZIP 33410-325
Phone: (561) 624-7116
Fax: (561) 624-7026

The provider's authorized official is Theresa Strauss .
The authorized official title is Financial Coordinator and has the following contact phone number (406) 756-2415.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and 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: 11/14/2023

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