Active NPI
South Florida Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Palm Beach Gardens, FL
National Provider Identifier
1164504189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY
- Practice address
- 3400 Burns Rd
#103
Palm Beach Gardens, FL 33410-4325 - Phone
- (561) 624-7116
- Fax
- (561) 624-7026
- NPI assigned
- Oct 19, 2006
- Last updated
- Aug 22, 2020
- 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
- Theresa Strauss
- Title
- Financial Coordinator
- Phone
- (406) 756-2415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
3400 Burns Rd
#103
Palm Beach Gardens, FL 33410-4325
Mailing address
3400 Burns Rd
#103
Palm Beach Gardens, FL 33410
Phone (561) 624-7116
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Florida, FL
- NPI 1346211299
-
- Oral and Maxillofacial Surgery (Dentist)
- Jupiter, FL
- NPI 1336347012
-
- Oral and Maxillofacial Pathology Dentistry
- Jupiter, FL
- NPI 1821069758
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164504189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BURNS RD",
"address_2": "#103",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-624-7116",
"fax_number": "561-624-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BURNS RD",
"address_2": "#103",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104325",
"telephone_number": "561-624-7116",
"fax_number": "561-624-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STRAUSS",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "FINANCIAL COORDINATOR",
"authorized_official_telephone_number": "406-756-2415"
},
"taxonomies": [
{
"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 Palm Beach Gardens, FL
- Sound on Audiology, LLC
- South Florida Diagnostic Resources
- South Florida Foot & Ankle Center
- South Florida Foot & Ankle LLC
- South Florida Lower Extremity Institute LLC
- South Florida Orthopaedics & Sports Medicine, PA (Atlantis Orthopaedics)
- South Florida Radiation Oncology LLC
- South Florida Surgical Specialists, LLC
- Southeast University Physicians PLLC
- Melissa Spaeth
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.