ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA PA NPI 1942410246

NPI Information

  • NPI: 1942410246
  • Provider Name: ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: ORAL AND FACIAL SURGEONS OF MID-FL
  • Address: 1100 LUCERNE TER STE 100
    ORLANDO, FL
    ZIP 32806
  • Phone: (407) 843-1670

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NPI Details

ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA is an oral and maxillofacial surgery dentist in Orlando, 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. ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA NPI is 1942410246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oral And Facial Surgeons Of Mid-fl.

The provider's business location address is:

1100 LUCERNE TER STE 100
ORLANDO, FL
ZIP 32806-050
Phone: (407) 843-1670
Fax: (407) 841-1827

The provider's authorized official is Jeffrey L Beattie .
The authorized official title is President and has the following contact phone number (407) 774-3399.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 10/5/2023.

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 SurgeryYes

What is NPI?

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

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