INSTITUTE FOR THE TREATMENT OF CRANIOFACIAL PAIN, PA


Address: 2122 E Robinson St, Orlando, FL 32803-6047
Phone: 4079630553

INSTITUTE FOR THE TREATMENT OF CRANIOFACIAL PAIN, PA (NPI# 1952866600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952866600
Entity Type Organization
Organization Name INSTITUTE FOR THE TREATMENT OF CRANIOFACIAL PAIN, PA
Practice Address 2122 E Robinson St
Orlando
FL 32803-6047
Mailing Address 1203 Preserve Point Dr
Winter Park
FL 32789-5939
Practice Telephone 4079630553
Practice Fax Number 4076375183
Mailing Telephone 4079630553
Enumeration Date 2019-02-07
Last Update Date 2019-07-16
Authorized Official Name DR. BRIAN D. FUSELIER (OWNER)
Authorized Official Telephone 4079630553
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL OMS 1265405518 01
FL OMS 1700859063 01

Office Location

Street Address 2122 E ROBINSON ST
City ORLANDO
State FL
Zip Code 32803-6047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528118916 Joseph Michael Bongiorno II Dentist 2122 E Robinson St, Orlando, FL 32803-6047 2007-01-10
1295208460 Center for Dental Anesthesia Pa Dentist 2122 E Robinson St, Orlando, FL 32803-6047 2019-01-09
1073929568 Kyle Duffy Dentist 2122 E Robinson St, Orlando, FL 32803-6047 2014-07-07
1447306386 Lawrence Duffy Dentist 2122 E Robinson St, Orlando, FL 32803-6047 2007-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255952636 Laiza Souza Tanner Technician 500 E Rollins St, Orlando, FL 32803 2020-04-27
1407415342 Betty Carrol Marriage & Family Therapist 1516 E Colonial Dr Ste 100, Orlando, FL 32803 2019-06-12
1326606047 Anthony Balingit Physical Therapy Assistant 1870 Aloma Avenue, Orlando, FL 32803 2019-05-29
1396234795 Natasha Le Morvan Technician/Technologist 1364 Ferris Ave, Orlando, FL 32803 2018-05-02
1306365796 Sarah E Fischer Nurse Practitioner Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 2017-09-17
1710404249 Emilia's Direct Care Agency Community/Behavioral Health 3218 E Colonial Dr Rm 118, Orlando, FL 32803 2017-08-25
1760907620 Kalie Brianne Morris Speech-Language Pathologist 1120 Portland Ave Unit 7, Orlando, FL 32803 2017-08-11
1972024271 Tatiana Ungredda Psychologist 5201 Raymond St Ste 424, Orlando, FL 32803 2017-06-28
1063942662 Michael Thomas Licensed Practical Nurse 101 South Bumby Ave, E11, Orlando, FL 32803 2017-06-15
1598209249 Danielle Marin Behavioral Analyst 2807 Edgewater Dr, Orlando, FL 32803 2016-12-15
Find all providers in zip 32803

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154838365 Trevisani Oral Surgery Orlando Plc Dentist 10967 Lake Underhill Rd Ste 144, Orlando, FL 32825-4456 2018-01-09
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
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32803

Improve Information

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Dataset Information

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.

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