Bay Oral & Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN17426 Issued in FL

Legal business name

BAY ORAL & FACIAL SURGERY

Practice address

725 Ohio Ave
Lynn Haven, FL 32444-1757

Phone

(850) 271-8001

Fax

(850) 277-0390

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Joseph Heitzmann, DMDNPI 1679592612

Title

Oral Surgeon/Owner

Phone

(850) 271-8001

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, and the practitioner matching its NPPES authorized official.

• Scott Joseph Heitzmann, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lynn Haven, FL
  • NPI 1679592612
  Authorized official Same address or phone

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1356741847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441757",
            "telephone_number": "850-271-8001",
            "fax_number": "850-277-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441757",
            "telephone_number": "850-271-8001",
            "fax_number": "850-277-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "HEITZMANN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ORAL SURGEON/OWNER",
        "authorized_official_telephone_number": "850-271-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Faith Ballard
• Kolene Barnes
• Rhonda Jane Barr
• Dianne Basford Ray, RPH
• Bay Implant and Perio, PLLC (Bay Implant and Perio)
• Bay Psychiatric Services Inc
• Janet L Becker
• Believe and Grow Therapy Center
• April G Beltran, NURSE PRACTITIONER
• Benjamin Eye Care Associates

• Oral and Maxillofacial Surgery Clinic/Center in Lynn Haven, FL
• Providers in Lynn Haven, 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 Sep 3, 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.