DR. LANCE FRANCIS GRENEVICKI (NPI# 1255306866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255306866 |
| Entity Type | Individual |
| Full Name | DR. LANCE FRANCIS GRENEVICKI |
| Credential | MD, DDS, FACS |
| Practice Address |
1093 S Wickham Rd The Institute of Facial Surgery West Melbourne FL 32904-1652 |
| Practice Telephone | 3216743900 |
| Practice Fax Number | 3217223303 |
| Mailing Telephone | 3216743900 |
| Mailing Fax Number | 3217223303 |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN15027 | FL | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | ME77063 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME77063 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1093 S WICKHAM RD THE INSTITUTE OF FACIAL SURGERY |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386855096 | Institute of Facial Surgery Inc | Specialist | 1093 S Wickham Rd, West Melbourne, FL 32904-1652 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1447625579 | Michael M Hashemian Dmd Md Pa | Oral & Maxillofacial Surgery | 32 Seven Hills Dr, Spring Hill, FL 34609-0212 | 2015-12-01 |
| 1629486097 | Oral Surgery Associates | Oral & Maxillofacial Surgery | 195 W Highland Street, Altamonte Springs, FL 32714 | 2014-07-29 |
| 1356601249 | First Coast Oral & Facial Surgery, Pa | Oral & Maxillofacial Surgery | 319 W Town Place, Suite 2, St Augustine, FL 32092 | 2012-05-24 |
| 1043582331 | Scott E. Farber, Dds.,p.a | Oral & Maxillofacial Surgery | 5150 Curry Ford Rd, Orlando, FL 32812-8744 | 2012-02-01 |
| 1760613426 | Jason E. Portnof | Oral & Maxillofacial Surgery | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2009-07-29 |
| 1497984785 | Ricardo M Ortiz | Oral & Maxillofacial Surgery | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2009-07-08 |
| 1992983654 | Patricia Hornback Dmd | Oral & Maxillofacial Surgery | 2426 Jenks Ave, Panama City, FL 32405-4908 | 2008-02-05 |
| 1821290305 | Marvin Craig Diamond | Oral & Maxillofacial Surgery | 5521 Bilbao Pl, Sarasota, FL 34238-4708 | 2007-06-05 |
| 1912048240 | Facial Surgery Center Pa | Oral & Maxillofacial Surgery | 1371 Bedford Drive, Melbourne, FL 32940 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
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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.