National Provider Identifier Database

BAY ORAL FACIAL 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

BAY ORAL & FACIAL SURGERY
725 OHIO AVE
LYNN HAVEN, FL32444-1757
Phone: 850-271-8001
Fax: 850-277-0390
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for BAY ORAL & FACIAL SURGERY

NPI Number 1356741847
Legal business name
LBN
BAY ORAL & FACIAL SURGERY
Authorized official SCOTT HEITZMANN - (ORAL SURGEON/OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/03/2014
Last updated 09/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: DN17426

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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