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BEACHSIDE ORAL SURGERY AND IMPLANTS LLC NPI 1164801825


NPI Information

NPI: 1164801825
Provider Name: BEACHSIDE ORAL SURGERY AND IMPLANTS LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
205 E EAU GALLIE BLVD
257
INDIAN HARBOUR BEACH, FL
ZIP 32937
Phone: (321) 473-8247
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BEACHSIDE ORAL SURGERY AND IMPLANTS LLC is an oral and maxillofacial surgery dentist in Indian Harbour Beach, 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. BEACHSIDE ORAL SURGERY AND IMPLANTS LLC NPI is 1164801825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 E EAU GALLIE BLVD
257
INDIAN HARBOUR BEACH, FL
ZIP 32937-873
Phone: (321) 473-8247

The provider's authorized official is Jayanthi Chopra .
The authorized official title is Employee and has the following contact phone number (321) 473-8247.

The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.


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 Surgery18935FLORIDAYes

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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