Seider & Stevens PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SEIDER & STEVENS PA

Doing business as

Broward Oral Surgery Associates

Practice address

3157 N University Dr
Suite 104
Pembroke Pines, FL 33024

Phone

(954) 431-1600

Fax

(954) 432-7994

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Alan Stevens, DMD

Title

Sec Treas

Phone

(954) 966-7100

Specialties & licenses 1

Addresses

Other names 1

• Broward Oral Surgery Associates Doing business as

Tax ID family

Broward Oral Surgery Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seider & Stevens PA

  dba Broward Oral Surgery Associates

  • Oral and Maxillofacial Surgery Clinic/Center
  • Hollywood, FL
  • NPI 1396834826
  NPD tax ID

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952490484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-431-1600",
            "fax_number": "954-432-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-431-1600",
            "fax_number": "954-432-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDER & STEVENS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "954-966-7100",
        "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": [
        {
            "organization_name": "Broward Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magdaline Frances Segarra, RD, LD/N
• Carlos Segovia, M.D,
• Benjamin Segura
• Jessica Sehuwerert, FNP
• David J Seiden, MD
• Paul Jeremy Seider, D.M.D.
• Perry Stuart Seider, DDS
• Alicia Seife, MD
• Kyle Matthew Seifert
• Kylie Seifert, DO

• Oral and Maxillofacial Surgery Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Aug 22, 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.