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TAMPA BAY MAXILLOFACIAL SURGERY PLLC NPI 1164932356


NPI Information

NPI: 1164932356
Provider Name: TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2140 16TH ST N
ST PETERSBURG, FL
ZIP 33704
Phone: (727) 894-1442
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TAMPA BAY MAXILLOFACIAL SURGERY, PLLC is an oral and maxillofacial surgery dentist in St Petersburg, 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. TAMPA BAY MAXILLOFACIAL SURGERY, PLLC NPI is 1164932356. The provider is registered as an organization entity type.

The provider's business location address is:

2140 16TH ST N
ST PETERSBURG, FL
ZIP 33704-924
Phone: (727) 894-1442

The provider's authorized official is Robert J Yu .
The authorized official title is Managing Member and has the following contact phone number (727) 894-1442.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 6/21/2019.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
2261QD0000XClinic/CenterDentalNo
31223S0112XDentistOral 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.