| Orofacial & Dental Implant Surgery Associates Pa | |
|
7352 Stonerock Cir Suite A Orlando FL 32819-8000 | |
| (407) 351-0575 | |
| (407) 363-6945 |
| Full Name | Orofacial & Dental Implant Surgery Associates Pa |
|---|---|
| Speciality | Dentist |
| Location | 7352 Stonerock Cir, Orlando, Florida |
| Authorized Official Name and Position | Ofilio J Morales (PRESIDENT) |
| Authorized Official Contact | 4073510575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orofacial & Dental Implant Surgery Associates Pa 7352 Stonerock Cir Suite A Orlando FL 32819-8000 Ph: (407) 351-0575 | Orofacial & Dental Implant Surgery Associates Pa 7352 Stonerock Cir Suite A Orlando FL 32819-8000 Ph: (407) 351-0575 |
| NPI Number | 1972609055 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 01/02/2009 |
| Medicare PECOS PAC ID | 3577533017 |
|---|---|
| Medicare Enrollment ID | O20040730000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972609055 | NPI | - | NPPES |
| 1609987635 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN12934 (Florida) | Primary |
| Provider Name | Zakir A Shaikh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619088622 PECOS PAC ID: 8325018864 Enrollment ID: I20040730000469 |
| Provider Name | Ofilio Morales |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609987635 PECOS PAC ID: 3779553227 Enrollment ID: I20120208000853 |
| Provider Name | Luis Fernando Alicea |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144320474 PECOS PAC ID: 1759413776 Enrollment ID: I20120629000414 |
| Provider Name | Arthur William Moore |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164564951 PECOS PAC ID: 7517270101 Enrollment ID: I20150727000537 |
| Provider Name | Austin N Belknap |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902392822 PECOS PAC ID: 8426444142 Enrollment ID: I20220406001388 |
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