Organization · Type 2 NPI

Mitchell Oral Surgery and Implant Centers PA

Oral and Maxillofacial Surgery (Dentist) · Clearwater, FL

NPI number 1003287129 Active

Practice location

2535 Landmark Dr Ste 105
Clearwater, FL 33761-3930

Mailing address

6731 Madison St
New Port Richey, FL 34652-1928

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN10802 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003287129

Mitchell Oral Surgery and Implant Centers PA's National Provider Identifier is 1003287129, issued on Oct 15, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clearwater, FL. The record was last updated on Oct 15, 2015.