| Fl Oral And Facial Surgery Llc | |
|
11424 N 56th St Temple Terrace FL 33617-2237 | |
| (813) 373-4573 | |
| Not Available |
| Full Name | Fl Oral And Facial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11424 N 56th St, Temple Terrace, Florida |
| Authorized Official Name and Position | Jackie Holloway (DIRECTOR OF RCM) |
| Authorized Official Contact | 8542007970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fl Oral And Facial Surgery Llc 3700 Ingleside Blvd Ladson SC 29456-4141 Ph: () - | Fl Oral And Facial Surgery Llc 11424 N 56th St Temple Terrace FL 33617-2237 Ph: (813) 373-4573 |
| NPI Number | 1487444337 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487444337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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