Organization Active NPI

L.N. Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Radiology Dentistry
  • Riverview, FL
National Provider Identifier
1023823705
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
Legal business name
L.N. ORAL AND MAXILLOFACIAL SURGERY PLLC
Practice address
11278 Sullivan St
Riverview, FL 33578-2140
Phone
(813) 834-8473
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Fernando J Jimenez, DMDNPI 1689873523
Title
President
Phone
(813) 834-8473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0008X Primary

Addresses

Primary practice location

11278 Sullivan St
Riverview, FL 33578-2140

Mailing address

11925 Climbing Fern Ave
Riverview, FL 33579-4092
Phone (813) 834-8473

Other names 1

  • L.N. Oral and maxillofacial Surgery PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

11278 Sullivan St
Riverview, FL 33578
Phone (813) 436-9813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1023823705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 CLIMBING FERN AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794092",
            "telephone_number": "813-834-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11278 SULLIVAN ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782140",
            "telephone_number": "813-834-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.N. ORAL AND MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-834-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.N. Oral and maxillofacial Surgery PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.