Organization · Type 2 NPI

Nova Southeastern University, Inc

Oral & Maxillofacial Surgery (D.M.D.) · Fort Lauderdale, FL

NPI number 1093442824 Active

Practice location

1625 SE 3rd Ave Ste 802
Fort Lauderdale, FL 33316-2521

Mailing address

PO Box 290370
Davie, FL 33329-0370

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XNone listed

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1093442824

Nova Southeastern University, Inc's National Provider Identifier is 1093442824, issued on Aug 2, 2022. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Sep 29, 2026.