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EASTSIDE SURGICAL SERVICES INC. NPI 1972624344


NPI Information

NPI: 1972624344
Provider Name: EASTSIDE SURGICAL SERVICES, INC.
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5400 N FEDERAL HWY
SUITE 102
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 771-8772
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EASTSIDE SURGICAL SERVICES, INC. is an oral and maxillofacial surgery clinic center 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. 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery10648FLORIDAYes

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

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