| Oral Surgical Institute | |
|
1291 Winter Garden Vineland Rd 150 Winter Garden FL 34787-6705 | |
| (407) 625-3646 | |
| Not Available |
| Full Name | Oral Surgical Institute |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1291 Winter Garden Vineland Rd, Winter Garden, Florida |
| Authorized Official Name and Position | John Howard Hardeman (PRESIDENT) |
| Authorized Official Contact | 4076253646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgical Institute Po Box 691747 Orlando FL 32869-1747 Ph: (407) 625-3646 | Oral Surgical Institute 1291 Winter Garden Vineland Rd 150 Winter Garden FL 34787-6705 Ph: (407) 625-3646 |
| NPI Number | 1184034720 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184034720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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