Bal Harbour Oral and Facial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN20155 Issued in FL

Legal business name

BAL HARBOUR ORAL AND FACIAL SURGERY LLC

Practice address

3220 Stirling Rd
Hollywood, FL 33021-2041

Phone

(954) 966-0404

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eli Oppenheimer, DMDNPI 1174866339

Title

Owner/Oral & Maxillofacial Surgeon

Phone

(786) 390-8042

Specialties & licenses 1

Addresses

Other names 1

• Oppenheimer Dental and Surgical Group Doing business as

Locations

Practitioners 1

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

• Eli Chayim Oppenheimer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami Beach, FL
  • NPI 1174866339

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1508364175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212041",
            "telephone_number": "954-966-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212041",
            "telephone_number": "954-966-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAL HARBOUR ORAL AND FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER/ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "786-390-8042",
        "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": "FL",
            "license": "DN20155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oppenheimer Dental and Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Hollywood, FL
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.