NPIMap

Organization Active NPI

Orofacial & Dental Implant Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
National Provider Identifier
1972609055
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN12934 Issued in FL
Legal business name
OROFACIAL & DENTAL IMPLANT SURGERY ASSOCIATES PA
Practice address
7352 Stonerock Cir
Suite a
Orlando, FL 32819-8000
Phone
(407) 351-0575
Fax
(407) 363-6945
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Dr. Ofilio J Morales, D.M.DNPI 1609987635
Title
President
Phone
(407) 351-0575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN12934 FL Primary

Addresses

Primary practice location

7352 Stonerock Cir
Suite a
Orlando, FL 32819-8000

Mailing address

7352 Stonerock Cir
Suite a
Orlando, FL 32819-8000
Phone (407) 351-0575

Other identifiers 1

IdentifierTypeStateIssuer
1609987635OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000520 FL Part B Supplier - Clinic/Group Practice 3577533017 Receives reassigned benefits from 5 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

605 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 343-6200

7352 Stonerock Cir
#A
Orlando, FL 32819
Phone (407) 351-0575

7352 Stonerock Cir
Ste A
Orlando, FL 32819
Phone (407) 351-0575

12780 Waterford Lakes Pkwy
Ste 110
Orlando, FL 32828
Phone (407) 380-5855

3736 Winter Garden Vineland Rd
Winter Garden, FL 34787
Phone (407) 490-4632

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1972609055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7352 STONEROCK CIR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-351-0575",
            "fax_number": "407-363-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7352 STONEROCK CIR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-351-0575",
            "fax_number": "407-363-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROFACIAL & DENTAL IMPLANT SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "OFILIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-351-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN12934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609987635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.