Brent Lee Florine, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9263 Issued in MN

Practice address

4151 Knob Dr Ste 101
Eagan, MN 55122-1876

Phone

(651) 688-8592

Fax

(651) 688-3415

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 17, 2004 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brent L Florine, DDS, PLLC

  dba Oral Surgery Care

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Eagan, MN
  • NPI 1245582063
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265440333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 KNOB DR STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221876",
            "telephone_number": "651-688-8592",
            "fax_number": "651-688-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 KNOB DR STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221876",
            "telephone_number": "651-688-8592",
            "fax_number": "651-688-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORINE",
        "first_name": "BRENT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "9263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Flannery
• Madison Flattery, MSW, LMSW, LICSW
• Makayla L Fleck
• Michael E Fleischhacker, D.C.
• Kaitlynn Flikkema, DO
• Laura Elizabeth Ford-Nathan, M.D.
• Alli Laurel Ford, CCC-SLP
• Ashton N Forsythe, FNP-BC
• Lisa Fortman
• Four Corners Afc LLC

• Oral and Maxillofacial Surgery (Dentist) in Eagan, MN
• Providers in Eagan, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.