Florida Center For Oral Surgery & Dental Implants | |
12651 W Sunrise Blvd Suite 304 Sunrise FL 33323-0906 | |
(954) 845-0098 | |
(954) 845-0280 |
Full Name | Florida Center For Oral Surgery & Dental Implants |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 12651 W Sunrise Blvd, Sunrise, Florida |
Authorized Official Name and Position | Damone E Smith (PRESIDENT) |
Authorized Official Contact | 9548450098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Florida Center For Oral Surgery & Dental Implants 12651 W Sunrise Blvd Suite 304 Sunrise FL 33323-0906 Ph: (954) 845-0098 | Florida Center For Oral Surgery & Dental Implants 12651 W Sunrise Blvd Suite 304 Sunrise FL 33323-0906 Ph: (954) 845-0098 |
NPI Number | 1295150845 |
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Provider Enumeration Date | 02/19/2014 |
Last Update Date | 02/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295150845 | NPI | - | NPPES |
690057701 | Medicaid | FL | |
690057796 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN16488 (Florida) | Primary |
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