South Florida Dental Surgical Specialists PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN 11443 Issued in FL

Legal business name

SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA

Practice address

9600 W Sample Rd
Suite 504
Coral Springs, FL 33065-4045

Phone

(954) 340-6550

Fax

(954) 340-8488

NPI assigned

Aug 6, 2012

Last updated

Feb 11, 2013By 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. Jeffrey F. Elliot, DMDNPI 1821118795

Title

President

Phone

(954) 340-6550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Jeffrey F. Elliot, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Springs, FL
  • NPI 1821118795
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1376890673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD",
            "address_2": "SUITE 504",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654045",
            "telephone_number": "954-340-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD",
            "address_2": "SUITE 504",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654045",
            "telephone_number": "954-340-6550",
            "fax_number": "954-340-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-340-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 11443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Soto
• Jessica Lynn Sotolongo
• South Florida Case Management and Mental Health Services
• South Florida Dental Center
• South Florida Dental Center
• South Florida Dentistry for Children, P.a.
• South Florida Mindful Center and Community Outreach (SFMC, Inc.)
• South Florida Nephrology Group P a
• South Florida Spine and Chiropractic Centers, LLC
• South Florida Surgical Specialists LLC (Interventional Pain & Wellness Center)

• Oral and Maxillofacial Surgery (Dentist) in Coral Springs, FL
• Providers in Coral Springs, 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 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.