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Contact Information

TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
2140 16TH ST N
SAINT PETERSBURG, FL33704-3924
 Phone: 727-894-1442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Dental

261QD0000X
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for TAMPA BAY MAXILLOFACIAL SURGERY PLLC · (Female)

NPI Number 1164932356
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2017
Last updated 06/21/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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