Organization Active NPI

Altamonte Oral & Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Altamonte Springs, FL
National Provider Identifier
1073460440
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ALTAMONTE ORAL & MAXILLOFACIAL SURGERY LLC
Practice address
659 Maitland Ave
Altamonte Springs, FL 32701-6860
Phone
(321) 246-6027
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Dr. Jugnu Dhamija, DMDNPI 1568781227
Title
Owner/Dentist
Phone
(321) 246-6027

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

659 Maitland Ave
Altamonte Springs, FL 32701-6860

Mailing address

659 Maitland Ave
Altamonte Springs, FL 32701-6860
Phone (321) 246-6027

National Provider Directory

National Provider Directory

Locations

659 Maitland Ave
Altamonte Springs, FL 32701
Phone (321) 246-6027

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": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1073460440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016860",
            "telephone_number": "321-246-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016860",
            "telephone_number": "321-246-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE ORAL & MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "DHAMIJA",
        "authorized_official_first_name": "JUGNU",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "321-246-6027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.