Individual provider Active NPI

Jorge Javier Valle, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Maitland, FL
National Provider Identifier
1669810693
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN20336 Issued in FL
Practice address
1640 N Maitland Ave # 1000
Maitland, FL 32751-3320
Phone
(407) 900-3366
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X ME137974 FL
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN20336 FL Primary

Addresses

Primary practice location

1640 N Maitland Ave # 1000
Maitland, FL 32751-3320

Mailing address

1640 N Maitland Ave # 1000
Maitland, FL 32751-3320
Phone (407) 900-3366

Other practice location 1

1196 E State Road 434
Winter Springs, FL 32708-2715
Phone (407) 327-2015

Other practice location 2

731 W Morse Blvd
Winter Park, FL 32789-3794
Phone (407) 644-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R Mark Matar DMD PA PastSince Apr 19, 2020 Accepting new patients
Jon S Wilkins, D.D.S., P.a. Past Accepting new patients
John H. T. Nguyen, DMD, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1669810693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 N MAITLAND AVE # 1000",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513320",
            "telephone_number": "407-900-3366",
            "fax_number": "321-800-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N MAITLAND AVE # 1000",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513320",
            "telephone_number": "407-900-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1196 E State Road 434",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327082715",
            "country_code": "US",
            "telephone_number": "407-327-2015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 W Morse Blvd",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893794",
            "country_code": "US",
            "telephone_number": "407-644-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "JORGE",
        "middle_name": "JAVIER",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME137974",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN20336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.