Organization Active NPI

Premier Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
National Provider Identifier
1750933545
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PREMIER ORAL & FACIAL SURGERY
Practice address
13571 Narcoossee Road
Orlando, FL 32832-6952
Phone
(407) 553-2894
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Authorized official

Name
Dr. Andonis Terezides, DDSNPI 1225199235
Title
Manager
Phone
(407) 621-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

13571 Narcoossee Road
Orlando, FL 32832-6952

Mailing address

13571 Narcoossee Road
Orlando, FL 32832
Phone (407) 553-2894

Other practice location 1

13800 Veterans Way
Orlando, FL 32827-7401
Phone (407) 631-3000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638662400000",
    "number": "1750933545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13571 NARCOOSSEE ROAD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-553-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13571 NARCOOSSEE ROAD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326952",
            "telephone_number": "407-553-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Veterans Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277401",
            "country_code": "US",
            "telephone_number": "407-631-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "TEREZIDES",
        "authorized_official_first_name": "ANDONIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-621-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.