Steve Adlai Sedaros, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN16845 Issued in FL

Practice address

2301 West Eau Gallie Blvd
Suite 101
Melbourne, FL 32935

Phone

(321) 610-7868

Fax

(321) 610-7818

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orofacial & Dental Implant Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1972609055
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1740409440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WEST EAU GALLIE BLVD.",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-610-7868",
            "fax_number": "321-610-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WEST EAU GALLIE BLVD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-610-7868",
            "fax_number": "321-610-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAROS",
        "first_name": "STEVE",
        "middle_name": "ADLAI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Secrest
• Donna Jo Billie Secura, LMT
• Tomor Sedaliu
• Sedaros & Sedaros MD PA
• Sohair L Sedaros, MD
• Abigail Marie Seeback, RN
• Robert C Seelman, MD
• Daniel N Segina, MD
• Jennifer Guarino Seifert, COTA/L
• Earnest Edward Seiler III, MD

• Oral and Maxillofacial Surgery (Dentist) in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.