Prestige Surgical Arts & Implants Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PRESTIGE SURGICAL ARTS & IMPLANTS CENTER

Practice address

320 N Maitland Ave Ste a
Maitland, FL 32751-4772

Phone

(407) 794-0335

Fax

(407) 794-0136

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Robert Donald Pierre II, DMDNPI 1063899102

Title

Oral Surgeon

Phone

(407) 794-0335

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Donald Pierre II, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sanford, FL
  • NPI 1063899102
  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1396427621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 SADLER RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577230",
            "telephone_number": "407-754-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAITLAND AVE STE A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514772",
            "telephone_number": "407-794-0335",
            "fax_number": "407-794-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SURGICAL ARTS & IMPLANTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "407-794-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Maitland, FL
• Providers in Maitland, 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 Aug 4, 2023; 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.