Organization · Type 2 NPI

Jason E. Portnof Dmd, Md, PA

Oral and Maxillofacial Surgery (Dentist) · Fort Lauderdale, FL

NPI number 1699190280 Active

Practice location

100 SE 15th Ave
Fort Lauderdale, FL 33301-3985

Call (954) 983-1899 Map

Fax (954) 986-6846

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN16048 (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 1699190280

Jason E. Portnof Dmd, Md, PA's National Provider Identifier is 1699190280, issued on Feb 19, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 25, 2017.