Organization · Type 2 NPI
New Image Maxillofacial LLC
Oral and Maxillofacial Surgery (Dentist) · Melbourne, FL
NPI number
1194767707
Active
Practice location
1325 S Pine St, Suite 102
Melbourne, FL 32901-3189
Fax (321) 951-3393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN7413 (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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Melbourne
About NPI 1194767707
New Image Maxillofacial LLC's National Provider Identifier is 1194767707, issued on Jun 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Melbourne, FL. The record was last updated on May 19, 2014.