Seider & Stevens PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SEIDER & STEVENS PA

Doing business as

Broward Oral Surgery Associates

Practice address

2699 Stirling Rd
Suite C-203
Hollywood, FL 33312

Phone

(954) 966-7100

Fax

(954) 962-1985

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Alan Stevens, DMDNPI 1003905530

Title

Sec Treas

Phone

(954) 966-7100

Specialties & licenses 1

Addresses

Other names 1

• Broward Oral Surgery Associates Doing business as

Tax ID family

Broward Oral Surgery Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seider & Stevens PA

  dba Broward Oral Surgery Associates

  • Oral and Maxillofacial Surgery Clinic/Center
  • Pembroke Pines, FL
  • NPI 1952490484
  NPD tax ID

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 Alan Stevens, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke Pines, FL
  • NPI 1003905530
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1396834826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-431-1600",
            "fax_number": "954-432-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C-203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-966-7100",
            "fax_number": "954-962-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDER & STEVENS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "954-966-7100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sedulous, LLC
• Marcia Scott Seeberg, L.M.H.C.
• Juan Luis Segura, ARNP
• Renato Segura, MD, LAC.
• Kayla Ann Seibold, APRN
• Stephanie Seidler, RN
• Amy L Seinfeld, DO
• Syndi Anne Seinfeld, DO
• Sela Alf, Inc
• Anca Roxana Selagea, PHARMD

• Oral and Maxillofacial Surgery Clinic/Center in Hollywood, FL
• Providers in Hollywood, 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 Aug 14, 2008; 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.