Advanced Dentistry South Florida Sepcialists LLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Delray Beach, FL
NPI 1003285339 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1003285339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC
- Practice address
- 15340 Jog Rd Ste 100
Delray Beach, FL 33446-2170 - Phone
- (561) 495-2099
- NPI assigned
- Sep 16, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- RICHARD J STALLER DDS PA
Authorized official
- Name
- Kelli Carter Staller
- Title
- Practice Administrator
- Phone
- (561) 495-2099
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Richard J Staller DDS PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | |||
| Periodontics |
1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
15340 Jog Rd Ste 100
Delray Beach, FL 33446-2170
Mailing address
15340 Jog Rd Ste 100
Delray Beach, FL 33446-2170
Phone (561) 495-2099
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- Advanced Dental Solutions of South Florida
- Advanced Dentistry S Florida PLLC
- Advanced Diagnostic Services, LLC
- Advanced Medical Diamond Group, LLC
- Advanced NP Services, Inc
- Advanced Orthopedic Surgery & Sports Medicine, Inc.
- Advanced Pain Medicine and Rehab PLLC
All providers in Delray Beach, FL · Oral and Maxillofacial Surgery (Dentist) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.