Active NPI
Steve a. Sedaros, DMD,PA
- Oral and Maxillofacial Surgery (Dentist)
- Melbourne, FL
National Provider Identifier
1033402946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN16845
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
National Provider Directory
National Provider DirectoryLocations
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.