Oral and Maxillofacial Surgery Associates
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Shalimar, FL
NPI 1568655702 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1568655702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- DN0012590 (FL)
- Legal business name
- ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
- Practice address
- 7 Clifford Dr
Shalimar, FL 32579-1250 - Phone
- (850) 651-6882
- Fax
- (850) 651-6692
- NPI assigned
- Aug 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles William Elwell Jr., D.M.D.
- Title
- Owner
- Phone
- (850) 651-6882
Practitioners 2
National Provider Directory
Locations
7 Clifford Dr
Shalimar, FL 32579
Phone (850) 651-6882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | DN0012590 | FL | Yes |
Addresses
Primary practice location
7 Clifford Dr
Shalimar, FL 32579-1250
Mailing address
7 Clifford Dr
Shalimar, FL 32579-1250
Phone (850) 651-6882
Other providers in Shalimar, FL
- North Florida Medical Centers, Inc
- Northwest Florida Behavioral Consultants
- Mary O'Grady
- Robert Clyde Ogletree Jr.
- Okaloosa County Board of County Commissioners
- Courtney Jean Osborne
- Mary Kate Pace
- Karly Parmer
- Cristina Paternina
- Anna Pearce
All providers in Shalimar, FL · Oral and Maxillofacial Surgery (Dentist) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.