WINTER HAVEN ORAL SURGERY PA NPI 1609122357

NPI Information

  • NPI: 1609122357
  • Provider Name: WINTER HAVEN ORAL SURGERY, PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 400 AVENUE K SE
    SUITE # 14A
    WINTER HAVEN, FL
    ZIP 33880
  • Phone: (863) 294-7648

Map and Directions

Get Directions

NPI Details

WINTER HAVEN ORAL SURGERY, PA is an oral and maxillofacial surgery dentist in Winter Haven, 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. WINTER HAVEN ORAL SURGERY, PA NPI is 1609122357. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

400 AVENUE K SE
SUITE # 14A
WINTER HAVEN, FL
ZIP 33880-146
Phone: (863) 294-7648
Fax: (863) 294-9045

The provider's authorized official is Jose Luis Leon Ramirez .
The authorized official title is Vice President and has the following contact phone number (863) 294-7648.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 8/21/2014.

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 SurgeryDN18539FLORIDAYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI