Harvey Mossak Oral & Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HARVEY MOSSAK ORAL & MAXILLOFACIAL SURGERY, PLLC

Practice address

1211 E Kennedy Blvd Unit 223
Tampa, FL 33602-3559

Phone

(972) 572-0599

Fax

(813) 654-7824

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Harvey Mossak, DMD

Title

Oral Surgeon

Phone

(973) 572-0599

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1952871030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E KENNEDY BLVD UNIT 223",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023559",
            "telephone_number": "972-572-0599",
            "fax_number": "813-654-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E KENNEDY BLVD UNIT 223",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023559",
            "telephone_number": "972-572-0599",
            "fax_number": "813-654-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY MOSSAK ORAL & MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MOSSAK",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "973-572-0599",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "631YO",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Alexis Hartwig, PA-C
• Kevin Hartzog Jr., ARNP
• Harvest Medical Services
• Laura Harvester, LCSW
• Marie Theresa Harvester
• Antoinette Harvey
• Ashley Nicole Harvey, BS
• Danielle Harvey
• Emma Marie Harvey, PT, DPT
• Julia Lauren Harvey, BCBA

• Oral and Maxillofacial Surgery (Dentist) in Tampa, FL
• Providers in Tampa, 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 Nov 30, 2018; 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.