Surgical & Sleep Solutions PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SURGICAL & SLEEP SOLUTIONS PLLC

Practice address

400 Treemonte Dr Ste a
Orange City, FL 32763-7978

Phone

(386) 837-1236

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shaunda Elyse Kelly, DMD, MDNPI 1659540508

Title

Ceo

Phone

(386) 837-1236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Shaunda Elyse Kelly, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1659540508

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1558137604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TREEMONTE DR STE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637978",
            "telephone_number": "386-837-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TREEMONTE DR STE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637978",
            "telephone_number": "386-837-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL & SLEEP SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHAUNDA",
        "authorized_official_middle_name": "ELYSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-837-1236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Success Speech Therapy, LLC
• Barbara Suh, PHARMD
• Dominique Sullivan
• Sunshine Dental of Orange City P.a.
• Surgical & Sleep Solutions PLLC
• Surgical Assisting Solutions LLC
• James M. Sutherland, DO
• Allen Swanson
• Jeffrey T Swanson, SLP
• Jeffrey Allen Szurminski, RN

• Oral and Maxillofacial Surgery Clinic/Center in Orange City, FL
• Providers in Orange City, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.