Advanced Aesthetic Center for Oral and Maxillofacial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0013293 Issued in FL

Legal business name

ADVANCED AESTHETIC CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, INC.

Practice address

2239 N Commerce Pkwy
Suite #2
Weston, FL 33326-3249

Phone

(954) 659-9990

Fax

(954) 659-9991

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marcos Diaz, D.D.S.NPI 1003921099

Title

President

Phone

(954) 659-9990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marcos Diaz, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Weston, FL
  • NPI 1003921099

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225145261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 N COMMERCE PKWY",
            "address_2": "SUITE #2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263249",
            "telephone_number": "954-659-9990",
            "fax_number": "954-659-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 N COMMERCE PKWY",
            "address_2": "SUITE #2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263249",
            "telephone_number": "954-659-9990",
            "fax_number": "954-659-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AESTHETIC CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-659-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Adamick, MD
• Gelly Adarraga
• Adedayo Adetunji, DO
• Nesreen Adieh
• Adria a Labiner
• Advanced Psychological Services of Weston, LLC
• Advanced Radiology & Interpretation Group
• Advantage Dental Esthetic Group
• Sadaf Afraz, DO
• Mansour Afshani, MD

• Oral and Maxillofacial Surgery (Dentist) in Weston, FL
• Providers in Weston, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• 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.

Verify at the official NPI Registry.