NPIMap

Organization Active NPI

Southwest Florida Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Myers, FL
National Provider Identifier
1649230210
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SOUTHWEST FLORIDA ORAL & FACIAL SURGERY
Practice address
8267 College Parkway
Fort Myers, FL 33919-5193
Phone
(239) 938-3025
Fax
(239) 936-1954
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Kathy Siano
Title
Billing Insurance Corrdinator
Phone
23999383025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

8267 College Parkway
Fort Myers, FL 33919-5193

Mailing address

8267 College Pkwy
Fort Myers, FL 33919-5193
Phone (239) 938-3025

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2051603Southwest Florida Oral and Facial Surgery PA8267 College Pkwy, Fort Myers, FL 33919Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

8267 College Pkwy
Fort Myers, FL 33919
Phone (239) 936-8151

5285 Summerlin Rd
Ste 101
Fort Myers, FL 33919
Phone (239) 281-4908

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1649230210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195193",
            "telephone_number": "239-938-3025",
            "fax_number": "239-936-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8267 COLLEGE PARKWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195193",
            "telephone_number": "239-938-3025",
            "fax_number": "239-936-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "SIANO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BILLING INSURANCE CORRDINATOR",
        "authorized_official_telephone_number": "23999383025"
    },
    "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": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.