| Plantation Oral Surgery, Pllc | |
|
7500 Nw 5th St Ste 105 Plantation FL 33317-1612 | |
| (954) 792-5544 | |
| (954) 587-6442 |
| Full Name | Plantation Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7500 Nw 5th St Ste 105, Plantation, Florida |
| Authorized Official Name and Position | Joel A Berley (OWNER) |
| Authorized Official Contact | 9547925544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plantation Oral Surgery, Pllc 7500 Nw 5th St Ste 105 Plantation FL 33317-1612 Ph: (954) 792-5544 | Plantation Oral Surgery, Pllc 7500 Nw 5th St Ste 105 Plantation FL 33317-1612 Ph: (954) 792-5544 |
| NPI Number | 1255804860 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255804860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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