SCLAR ORAL SURGERY PA NPI 1710921036

NPI Information

  • NPI: 1710921036
  • Provider Name: SCLAR ORAL SURGERY PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: SOUTH FLORIDA OMS
  • CLIA Number: 10D1107124
  • Address: 7600 S RED RD
    SUITE 101
    SOUTH MIAMI, FL
    ZIP 33143
  • Phone: (305) 661-5297

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NPI Details

SCLAR ORAL SURGERY PA is an oral and maxillofacial surgery dentist in South Miami, 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. SCLAR ORAL SURGERY PA NPI is 1710921036. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South Florida Oms.

The provider's business location address is:

7600 S RED RD
SUITE 101
SOUTH MIAMI, FL
ZIP 33143-428
Phone: (305) 661-5297
Fax: (305) 667-3503

The provider's authorized official is Randena Leonard .
The authorized official title is Administrator and has the following contact phone number (305) 661-5297.

The CLIA number assigned to this NPI record is 10D1107124 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/22/2013.

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 SurgeryDN8052FLORIDANo
21223S0112XDentistOral and Maxillofacial SurgeryDN0010151FLORIDAYes

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
1T55262MEDICARE UPINFLORIDA
2DS671AMEDICARE PINFLORIDA

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

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