Oral Surgery & Implant Center

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ORAL SURGERY & IMPLANT CENTER

Practice address

7231 SW 63Rd Ave
South Miami, FL 33143-4809

Phone

(305) 667-1191

Fax

(305) 667-2712

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Fred Pedroletti, DMDNPI 1265751036

Title

Owner

Phone

(305) 667-1191

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Pedroletti, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Miami, FL
  • NPI 1265751036
  NPD Authorized official
• Jerry Marshal Layne, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • South Miami, FL
  • NPI 1679654644
  NPD
• Andre Christian Ledoux, DMD

  • Dentist
  • South Miami, FL
  • NPI 1407161714
  NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1760964977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191",
            "fax_number": "305-667-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191",
            "fax_number": "305-667-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "PEDROLETTI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-667-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open MRI and CT of South Miami, LLC
• Open MRI of Florida, LTD
• Optimum Medical Center Inc
• Oracle Health Systems Inc
• Oral Dental Care of Florida
• Orange Blossom Medical LLC
• Alvaro Jose Ordonez, DDS
• Jessica Lee Ordonez, MS, CGC
• Scarlet G. Ordonez
• Rachel Elizabeth Orellana, LMT

• Oral and Maxillofacial Surgery Clinic/Center in South Miami, FL
• Providers in South Miami, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.