EASTSIDE SURGICAL SERVICES INC. NPI 1972624344

NPI Information

  • NPI: 1972624344
  • Provider Name: EASTSIDE SURGICAL SERVICES, INC.
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 5400 N FEDERAL HWY
    SUITE 102
    FT LAUDERDALE, FL
    ZIP 33308
  • Phone: (954) 771-8772

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NPI Details

EASTSIDE SURGICAL SERVICES, INC. is an oral and maxillofacial surgery clinic center in Ft Lauderdale, FL. The provider is an oral and maxillofacial surgery clinic or center 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. EASTSIDE SURGICAL SERVICES, INC. NPI is 1972624344. The provider is registered as an organization entity type.

The provider's business location address is:

5400 N FEDERAL HWY
SUITE 102
FT LAUDERDALE, FL
ZIP 33308-201
Phone: (954) 771-8772
Fax: (954) 771-8072

The provider's authorized official is Leslie Harris Sultan .
The authorized official title is Administrator and has the following contact phone number (954) 771-8772.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery10648FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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