Plantation Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PLANTATION ORAL SURGERY, PLLC

Practice address

7500 NW 5TH St Ste 105
Plantation, FL 33317-1612

Phone

(954) 792-5544

Fax

(954) 587-6442

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Joel A Berley

Title

Owner

Phone

(954) 792-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1255804860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-792-5544",
            "fax_number": "954-587-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-792-5544",
            "fax_number": "954-587-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "BERLEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-792-5544"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantation Medical and Surgical PA
• Plantation Medical Clinic
• Plantation Medical Clinic PA
• Plantation Nursing & Rehabilitation Center, LLC
• Plantation Open MRI LLC
• Plantation Ortho, LLC
• Plantation Palms Dental P.a.
• Plantation Park Dental Associates, P.a.
• Plantation Pavilion OB-GYN
• Plantation Pediatric Neurosurgery LLC

• Oral and Maxillofacial Surgery (Dentist) in Plantation, FL
• Providers in Plantation, 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 Jan 7, 2019; 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.