Florida Oral & Facial Surgical Associates PA

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

FLORIDA ORAL & FACIAL SURGICAL ASSOCIATES PA

Practice address

549 Health Blvd
Daytona Beach, FL 32114-1493

Phone

(386) 252-6438

NPI assigned

Sep 14, 2006

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Akers

Title

Officer

Phone

(386) 252-6438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Bradley Mark Pinker, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Daytona Beach, FL
  • NPI 1376806489
  Medicare reassignment Care Compare group NPD
• Curtis Schalit, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Daytona Beach, FL
  • NPI 1730112749
  Medicare reassignment Care Compare group NPD
• Samuel Song, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Daytona Beach, FL
  • NPI 1487117529
  Medicare reassignment Care Compare group NPD
• Roger Rangarajan Thayer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Daytona Beach, FL
  • NPI 1558340232
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1912002585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-252-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-252-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ORAL & FACIAL SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "386-252-6438"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kymesha Flournoy

• Oral and Maxillofacial Pathology Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Oral and Maxillofacial Pathology Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.