Profiles II Oral and Facial Surgery ,PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PROFILES II ORAL AND FACIAL SURGERY ,PLLC

Practice address

2560 Rca Blvd
Suite 102
Palm Beach Gardens, FL 33410-3338

Phone

(561) 622-9065

NPI assigned

Sep 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Makepeace Charles, DDS

Title

Oral Surgeon

Phone

(561) 622-9065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Roger E Freilich, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Beach Gardens, FL
  • NPI 1053441717
  NPD (past)
• Stuart Miles Hirsch, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Springs, FL
  • NPI 1013965391
  NPD (past)
• Dominic Morel-Maynard, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Delray Beach, FL
  • NPI 1073800520
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1477837011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103338",
            "telephone_number": "561-622-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103338",
            "telephone_number": "561-622-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFILES II ORAL AND FACIAL SURGERY ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MAKEPEACE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "561-622-9065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003758600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prizm Medical Solutions
• Pro Imaging Inc
• Proactive Healthrx Inc
• Professional Care Coordinators, LLC
• Professional Dental Alliance of Palm Beach Gardens, PLLC
• Profiles II Oral and Facial Surgery Center
• Progressive Health and Wellness LLC
• Project Brilliance
• Onika Promi
• Prosper Operations, LLC

• Oral and Maxillofacial Surgery (Dentist) in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Jul 25, 2016; 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.