Organization Active NPI

Steve a. Sedaros, DMD,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Melbourne, FL
National Provider Identifier
1033402946
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16845 Issued in FL
Legal business name
STEVE A. SEDAROS, DMD,PA
Doing business as
Sedaros Oral Facial Surgery & Dental Implants
Practice address
2301 W Eau Gallie Blvd Ste 1
Melbourne, FL 32935-3128
Phone
(321) 610-7868
Fax
(321) 610-7818
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Steve Sedaros, DMD
Title
President
Phone
(321) 610-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN16845 FL Primary

Addresses

Primary practice location

2301 W Eau Gallie Blvd Ste 1
Melbourne, FL 32935-3128

Mailing address

2301 W Eau Gallie Blvd Ste 1
Melbourne, FL 32935-3128
Phone (321) 610-7868

Other names 1

  • Sedaros Oral Facial Surgery & Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

2301 W Eau Gallie Blvd
Ste 1
Melbourne, FL 32935
Phone (321) 610-7868

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1033402946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W EAU GALLIE BLVD STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353128",
            "telephone_number": "321-610-7868",
            "fax_number": "321-610-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W EAU GALLIE BLVD STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353128",
            "telephone_number": "321-610-7868",
            "fax_number": "321-610-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE A. SEDAROS, DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "SEDAROS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-610-7868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedaros Oral Facial Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.