Organization · Type 2 NPI

Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc

Oral and Maxillofacial Surgery (Dentist) · Port St. Lucie, FL

NPI number 1417618463 Active

Practice location

1265 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5376

Fax (772) 337-2004

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

Another provider at this address

About NPI 1417618463

Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc's National Provider Identifier is 1417618463, issued on Jan 3, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 3, 2022.