Organization · Type 2 NPI

Winter Haven Oral Surgery, PA

Oral and Maxillofacial Surgery (Dentist) · Winter Haven, FL

NPI number 1609122357 Active

Practice location

400 Avenue K SE, Suite # 14A
Winter Haven, FL 33880-4146

Call (863) 294-7648 Map

Fax (863) 294-9045

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN18539 (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.

13 other providers at this address

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About NPI 1609122357

Winter Haven Oral Surgery, PA's National Provider Identifier is 1609122357, issued on Jul 31, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Winter Haven, FL. The record was last updated on Aug 21, 2014.