TREVISANI ORAL SURGERY ORLANDO PLC (NPI# 1154838365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154838365 |
Entity Type | Organization |
Organization Name | TREVISANI ORAL SURGERY ORLANDO PLC |
Practice Address |
10967 Lake Underhill Rd Ste 144 Orlando FL 32825-4456 |
Mailing Address |
511 Wekiva Commons Cir Apopka FL 32712-3645 |
Practice Telephone | 4077649900 |
Practice Fax Number | 4077649902 |
Mailing Telephone | 4078862050 |
Mailing Fax Number | 4078862117 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |
Authorized Official Name | MRS. TAMI VARGAS (OFFICE MANAGER) |
Authorized Official Telephone | 4078862050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN13576 | FL | Dental Providers |
Street Address |
10967 LAKE UNDERHILL RD STE 144 |
City | ORLANDO |
State | FL |
Zip Code | 32825-4456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
Find all providers in zip 32825 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598021016 | Jonathan Clinton Elmore | Dentist | 688 N Alafaya Trl Ste 107, Orlando, FL 32828-4355 | 2012-04-10 |
1700053881 | Oral & Maxillofacial Surgeons of Mid-florida, Pa | Dentist | 1100 Lucerne Ter, Suite 100, Orlando, FL 32806-1050 | 2008-05-08 |
1871768978 | Frankie Miguel Gomez | Dentist | 610 N Mills Ave Ste 100, Orlando, FL 32803-7103 | 2008-04-29 |
1952427395 | Douglas Kent Powelson | Dentist | 7651 Ashley Park Ct, Suite #406, Orlando, FL 32835-6114 | 2007-03-21 |
1497798433 | Carlos M Alvarez | Dentist | 420 E Church St Unit 905, Orlando, FL 32801 | 2006-06-14 |
1114987831 | Ramon L Ruiz | Dentist | 207 W Gore St Ste 302, Orlando, FL 32806-1014 | 2006-03-25 |
1114990470 | Wilbur M Davis Jr. | Dentist | 610 N Mills Ave, Ste 100, Orlando, FL 32803-7119 | 2006-02-08 |
1265405518 | Barry A Loughner | Dentist | 610 North Mills Ave, Ste 100, Orlando, FL 32803 | 2006-02-08 |
1750933545 | Premier Oral & Facial Surgery | Dentist | 13571 Narcoossee Road, Orlando, FL 32832-6952 | 2019-07-11 |
1952866600 | Institute for The Treatment of Craniofacial Pain, Pa | Dentist | 2122 E Robinson St, Orlando, FL 32803-6047 | 2019-02-07 |
Find all providers in ORLANDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.