Trevisani Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN13576 Issued in FL

Legal business name

TREVISANI ORAL SURGERY

Practice address

511 Wekiva Commons Cir
Apopka, FL 32712-3645

Phone

(407) 886-2050

Fax

(407) 886-2117

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Eagle

Title

Administrator

Phone

(407) 886-2050

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.

• Ronald J Trevisani, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Apopka, FL
  • NPI 1740325794
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1316211196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-886-2050",
            "fax_number": "407-886-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-886-2050",
            "fax_number": "407-886-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVISANI ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-886-2050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrjana Toussaint
• Nghi Tran, PHARM. D
• Thong Tran, PHARM.D.
• Transformation Continuum Health Inc.
• Bethany Traynham, MSSW, CSW
• Ronald J Trevisani, D.M.D.
• Tri-County Life Care, Inc
• Destiny Truitt
• Diane Camille Truley
• Hong Diem Jennifer Truong, DO

• Oral and Maxillofacial Surgery Clinic/Center in Apopka, FL
• Providers in Apopka, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.