Individual provider · Type 1 NPI

Heidi Mederos, DMD

Oral and Maxillofacial Surgery (Dentist) · Plantation, FL

NPI number 1669994372 Active

Practice location

100 NW 82nd Ave Ste 101
Plantation, FL 33324-1834

Fax (954) 323-2600

Mailing address

17773 SW 152nd Pl
Miami, FL 33187-7762

Other practice locations

  • 5531 N University Dr Ste 104, Coral Springs, FL 33067-4649 · (954) 358-4260

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN22759 (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 1669994372

Heidi Mederos, DMD's National Provider Identifier is 1669994372, issued on Jul 13, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Plantation, FL. The record was last updated on Aug 18, 2021.