Florida Center for Oral Surgery & Dental Implants

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN16488 Issued in FL

Legal business name

FLORIDA CENTER FOR ORAL SURGERY & DENTAL IMPLANTS

Practice address

12651 W Sunrise Blvd
Suite 304
Sunrise, FL 33323-0906

Phone

(954) 845-0098

Fax

(954) 845-0280

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Damone E Smith, D.D.S.NPI 1780718411

Title

President

Phone

(954) 845-0098

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Damone E Smith, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sunrise, FL
  • NPI 1780718411
  NPD (past) Authorized official

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1295150845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD",
            "address_2": "SUITE 304",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-845-0098",
            "fax_number": "954-845-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD",
            "address_2": "SUITE 304",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-845-0098",
            "fax_number": "954-845-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CENTER FOR ORAL SURGERY & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMONE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-845-0098",
        "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": "DN16488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690057701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690057796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remigio J. Flor, MD
• Jasfer Fajardo Flordeliz, P.T.
• Bethany Flores, LCSW
• Janette Mary Flores, PT
• Lizabeth M. Floresta, CRNA
• Florida Center for Surgical Weight Control, P.a.
• Florida Clinical DX Inc
• Florida Coast Recovery
• Florida Coast Recovery, LLC
• Florida Em-I Medical Services PA

• Oral and Maxillofacial Surgery (Dentist) in Sunrise, FL
• Providers in Sunrise, 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 Feb 19, 2014; 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.