National Provider Identifier Database

BOCA JAW SURGERY PA
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

BOCA JAW SURGERY, PA
16110 JOG RD
SUITE 101
DELRAY BEACH, FL33446-2350
Phone: 561-499-3331
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for BOCA JAW SURGERY, PA

NPI Number 1336436096
Legal business name
LBN
BOCA JAW SURGERY, PA
Authorized official RONALD KATZ - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 07/01/2011
Last updated 07/01/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: DN15190

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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