| Florida Oral & Facial Surgical Associates Pa | |
|
549 Health Blvd Daytona Beach FL 32114-1493 | |
| (386) 252-6438 | |
| Not Available |
| Full Name | Florida Oral & Facial Surgical Associates Pa |
|---|---|
| Speciality | Dentist |
| Location | 549 Health Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | John Akers (OFFICER) |
| Authorized Official Contact | 3862526438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Oral & Facial Surgical Associates Pa 549 Health Blvd Daytona Beach FL 32114-1493 Ph: (386) 252-6438 | Florida Oral & Facial Surgical Associates Pa 549 Health Blvd Daytona Beach FL 32114-1493 Ph: (386) 252-6438 |
| NPI Number | 1912002585 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 02/08/2008 |
| Medicare PECOS PAC ID | 5799699500 |
|---|---|
| Medicare Enrollment ID | O20031117000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912002585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Curtis J Schalit |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1730112749 PECOS PAC ID: 4789657602 Enrollment ID: I20090611000714 |
| Provider Name | John O Akers |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1922026426 PECOS PAC ID: 0345213260 Enrollment ID: I20090624000652 |
| Provider Name | Roger R Thayer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558340232 PECOS PAC ID: 3678736436 Enrollment ID: I20120515000640 |
| Provider Name | Brian H Hamilton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477724706 PECOS PAC ID: 0345499513 Enrollment ID: I20140805001004 |
| Provider Name | Bradley M Pinker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376806489 PECOS PAC ID: 1557587037 Enrollment ID: I20190409001289 |
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