Hollywood Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HOLLYWOOD ORAL SURGERY, PLLC

Practice address

4420 Sheridan St
Hollywood, FL 33021-3552

Phone

(954) 792-5544

Fax

(954) 587-6442

NPI assigned

Jan 7, 2019

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel A Berley, DMDNPI 1831402171

Title

Owner

Phone

(954) 792-5544

Specialties & licenses 1

Addresses

Locations

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.

• Joel Aron Berley, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Plantation, FL
  • NPI 1831402171
  Authorized official Same address or phone

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1497228001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-792-5544",
            "fax_number": "954-792-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "954-792-5544",
            "fax_number": "954-587-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "BERLEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-792-5544",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Hollywood Medical Center, Inc. (Hollywood Medical Center)
• Hollywood Medical Center, Inc. (Hollywood Medical Center)
• Hollywood Medical Clinic LLC
• Hollywood Mobile Diagnostics Inc
• Hollywood Mobile Imaging Inc
• Hollywood Orthopedics
• Hollywood Pain Relief Dispensary
• Hollywood Paradise Residence Inc
• Hollywood Pavilion LLC
• Hollywood Pediatrics, P.a.

• Oral and Maxillofacial Surgery (Dentist) in Hollywood, FL
• Providers in Hollywood, 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 7, 2019; 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.