BELLEAIR ORAL SURGERY AND IMPLANTS PLLC NPI 1720380207

NPI Information

  • NPI: 1720380207
  • Provider Name: BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 100 INDIAN ROCKS RD N
    SUITE 12
    BELLEAIR BLUFFS, FL
    ZIP 33770
  • Phone: (727) 581-3300

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NPI Details

BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC is an oral and maxillofacial surgery dentist in Belleair Bluffs, 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. BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC NPI is 1720380207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 INDIAN ROCKS RD N
SUITE 12
BELLEAIR BLUFFS, FL
ZIP 33770-778
Phone: (727) 581-3300
Fax: (727) 581-3302

The provider's authorized official is Ralph Mark Eichstaedt .
The authorized official title is President/oral Surgeon and has the following contact phone number (727) 581-3300.

The enumeration date for this NPI number is 12/3/2010 and was last updated on 3/31/2014.

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 SurgeryDN15139FLORIDAYes

What is NPI?

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

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