Organization · Type 2 NPI

Oral Maxillofacial and Implant Specialists, LLC

Oral and Maxillofacial Surgery (Dentist) · Lutz, FL

NPI number 1801353792 Active

Practice location

4675 Van Dyke Rd.
Lutz, FL 33558

Fax (813) 609-4565

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.

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About NPI 1801353792

Oral Maxillofacial and Implant Specialists, LLC's National Provider Identifier is 1801353792, issued on Feb 27, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lutz, FL. The record was last updated on Feb 27, 2019.