| Boynton Oral Surgery And Implant Center Pllc | |
|
3695 W Boynton Beach Blvd Ste 1 Boynton Beach FL 33436-4516 | |
| (561) 364-1800 | |
| Not Available |
| Full Name | Boynton Oral Surgery And Implant Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3695 W Boynton Beach Blvd Ste 1, Boynton Beach, Florida |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boynton Oral Surgery And Implant Center Pllc 3695 W Boynton Beach Blvd Ste 1 Boynton Beach FL 33436-4516 Ph: (561) 364-1800 | Boynton Oral Surgery And Implant Center Pllc 3695 W Boynton Beach Blvd Ste 1 Boynton Beach FL 33436-4516 Ph: (561) 364-1800 |
| NPI Number | 1255980447 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 0042648727 |
|---|---|
| Medicare Enrollment ID | O20200311000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255980447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | David M Feinerman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881702223 PECOS PAC ID: 8325115215 Enrollment ID: I20080918000243 |
| Provider Name | Robert S Schaedel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417053034 PECOS PAC ID: 7618030313 Enrollment ID: I20130307000192 |
| Provider Name | Derek T King |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154611176 PECOS PAC ID: 3476858739 Enrollment ID: I20160224001208 |
| Provider Name | Justin A Schneider |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881074425 PECOS PAC ID: 4082062070 Enrollment ID: I20231201000985 |
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