Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC

Practice address

1265 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5376

Phone

(772) 337-4798

Fax

(772) 337-2004

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Kauffman

Title

Office Manager

Phone

(772) 337-4798

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeffrey Michael Brown, D.M.D, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Port St Lucie, FL
  • NPI 1184658569
  NPD
• Shawn Torlief Engebretsen

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1396789350
  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1417618463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525376",
            "telephone_number": "772-337-4798",
            "fax_number": "772-337-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525376",
            "telephone_number": "772-337-4798",
            "fax_number": "772-337-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-337-4798"
    },
    "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": []
}

• Treasure Coast Medical Management, LLC
• Treasure Coast Medicine LLC
• Treasure Coast Neurology West, LLC
• Treasure Coast Neuropsychology PA
• Treasure Coast Optical, Inc.
• Treasure Coast Pathology, PA
• Treasure Coast Pathology, PA
• Treasure Coast Pulmonary Medicine, P.a.
• Treasure Coast Sleep Disorders , LLC
• Treasures Senior Care Inc.

• Oral and Maxillofacial Surgery (Dentist) in Port St Lucie, FL
• Providers in Port St Lucie, 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 Jan 3, 2022; 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.