Oral & Maxillofacial Surgeons of Mid-Florida, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA

Doing business as

Oral & Facial Surgeons of Mid-Florida, P.A.
Oral and Facial Surgeons of Mid-FL

Practice address

1100 Lucerne Ter Ste 100
Orlando, FL 32806-1050

Phone

(407) 843-1670

Fax

(407) 841-1827

NPI assigned

May 23, 2007

Last updated

Oct 5, 2023By 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

Jeffrey L Beattie, D.M.D.

Title

President

Phone

(407) 774-3399

Specialties & licenses 1

Addresses

Other names 2

• Oral & Facial Surgeons of Mid-Florida, P.A. Doing business as
• Oral and Facial Surgeons of Mid-FL Doing business as

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.

• Louis G Payor, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Orlando, FL
  • NPI 1508895038
  NPD (past)
• Thomas N Salmon, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
  • NPI 1184713695
  NPD (past)
• Don E Tillery Jr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
  • NPI 1306950274
  NPD (past)
• Priveer D Sharma, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
  • NPI 1790719359
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1942410246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 BRIAR CLIFF DR STE 101",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794443",
            "telephone_number": "407-774-3399",
            "fax_number": "407-774-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061050",
            "telephone_number": "407-843-1670",
            "fax_number": "407-841-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Briar Cliff Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327794443",
            "country_code": "US",
            "telephone_number": "407-774-3399",
            "fax_number": "407-774-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-774-3399",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Facial Surgeons of Mid-Florida, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral and Facial Surgeons of Mid-FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optumcare Florida, LLC (DaVita Medical Group)
• Optumumhealthoutcomes
• Deborah Janera Oquendo, RBT
• Francisco Rafael Oquendo, M.D.
• Oral & Maxillofacial Surgeons of Mid-Florida, PA (Oral & Facial Surgeons of Mid-FL)
• Oral Hygiene Center LLC
• Oral Surgery Associates of Central Florida, PA
• Oral Surgery Center of Central Florida LLC
• Melvin Orama, PHARMD
• Mariluz Oramas Vazquez

• Oral and Maxillofacial Surgery (Dentist) in Orlando, FL
• Providers in Orlando, 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 Oct 5, 2023; 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.