Michael London, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN24645 Issued in FL

Practice address

1051 S State Road 7 Ste 1
Wellington, FL 33414-6135

Phone

(561) 790-0206

Fax

(561) 795-5445

NPI assigned

Jul 9, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Arts of Boca Raton LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boca Raton, FL
  • NPI 1689171332

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1013369438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 S STATE ROAD 7 STE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146135",
            "telephone_number": "678-332-6196",
            "fax_number": "561-795-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 S STATE ROAD 7 STE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146135",
            "telephone_number": "561-790-0206",
            "fax_number": "561-795-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-09",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN24645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Loffredo
• Tricia Lofstead, PT
• Ashley Nicole Logan
• Heather Loguidice, NP
• Karen Lomax, LCSW
• Julie A Long, MD
• Carrie A Longest, LMHC
• Karen Loomis Robb, LCSW
• Marisol Lopez-Belio, DDS
• Amber Christine Lopez-Quijano, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Wellington, FL
• Providers in Wellington, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.