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JASON E. PORTNOF DMD MD PA NPI 1699190280


NPI Information

NPI: 1699190280
Provider Name: JASON E. PORTNOF DMD, MD, PA

Doing Business As: LAS OLAS CENTRE FOR ORAL & MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
100 SE 15TH AVE
FT LAUDERDALE, FL
ZIP 33301
Phone: (954) 983-1899
Get Directions

JASON E. PORTNOF DMD, MD, PA is an oral and maxillofacial surgery dentist in Ft Lauderdale, 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. JASON E. PORTNOF DMD, MD, PA NPI is 1699190280. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Las Olas Centre For Oral & Maxillofacial Surgery.

The provider's business location address is:

100 SE 15TH AVE
FT LAUDERDALE, FL
ZIP 33301-985
Phone: (954) 983-1899
Fax: (954) 986-6846

The provider's authorized official is Jason E Portnof .
The authorized official title is Owner and has the following contact phone number (954) 983-1899.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 1/25/2017.


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 SurgeryDN16048FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HA085ZOTHERFLORIDAMEDICARE PTAN

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.