Dadeland Oral Surgery Associates, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN11776 Issued in FL

Legal business name

DADELAND ORAL SURGERY ASSOCIATES, PA

Practice address

8950 SW 74TH CT Ste 1610
Miami, FL 33156-3175

Phone

(305) 670-7610

Fax

(305) 670-4950

NPI assigned

Oct 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Ricky Brown, D.D.SNPI 1952353609

Title

Dentist/Owner

Phone

(305) 670-7610

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lawrence Ricky Brown, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1952353609
  NPD Authorized official
• Richard A Tamayo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1528598612
  NPD
• Lloyd Lustig Wruble, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1023060787
  NPD (past)

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1457502874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563175",
            "telephone_number": "305-670-7610",
            "fax_number": "305-670-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563175",
            "telephone_number": "305-670-7610",
            "fax_number": "305-670-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADELAND ORAL SURGERY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "RICKY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-670-7610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN11776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Miami, FL
• Providers in Miami, 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 31, 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.