| Oral And Maxillofacial Surgery Associates | |
|
7 Clifford Dr Shalimar FL 32579-1250 | |
| (850) 651-6882 | |
| (850) 651-6692 |
| Full Name | Oral And Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7 Clifford Dr, Shalimar, Florida |
| Authorized Official Name and Position | Charles William Elwell (OWNER) |
| Authorized Official Contact | 8506516882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Associates 7 Clifford Dr Shalimar FL 32579-1250 Ph: (850) 651-6882 | Oral And Maxillofacial Surgery Associates 7 Clifford Dr Shalimar FL 32579-1250 Ph: (850) 651-6882 |
| NPI Number | 1568655702 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568655702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN0012590 (Florida) | Primary |
North Florida Medical Centers, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Holly Ave, Shalimar, FL 32579 Phone: 850-423-4603 | |
Shalimar Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Eleventh Avenue, D-3, Shalimar, FL 32579 Phone: 850-651-6700 Fax: 850-609-0796 |