AC O&M SERVICES LLC NPI 1497221352

NPI Information

  • NPI: 1497221352
  • Provider Name: AC O&M SERVICES LLC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4675 VAN DYKE RD
    LUTZ, FL
    ZIP 33558
  • Phone: (812) 609-4496

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NPI Details

AC O&M SERVICES LLC is an oral and maxillofacial surgery clinic center in Lutz, FL. The provider is an oral and maxillofacial surgery clinic or center 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. AC O&M SERVICES LLC NPI is 1497221352. The provider is registered as an organization entity type.

The provider's business location address is:

4675 VAN DYKE RD
LUTZ, FL
ZIP 33558-880
Phone: (812) 609-4496

The provider's authorized official is Alejandro Caribas .
The authorized official title is Director and has the following contact phone number (786) 302-6704.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 10/18/2018.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013204122OTHERFLORIDANPI

What is NPI?

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This page was last updated on: 3/30/2025

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