National Provider Identifier Database

TREVISANI ORAL SURGERY
Oral and Maxillofacial Surgery

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.


Contact Information

TREVISANI ORAL SURGERY
511 WEKIVA COMMONS CIR
APOPKA, FL32712-3645
Phone: 407-886-2050
Fax: 407-886-2117
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for TREVISANI ORAL SURGERY

NPI Number 1316211196
Legal business name
LBN
TREVISANI ORAL SURGERY
Authorized official TAMMY EAGLE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/27/2012
Last updated 02/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: DN13576

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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