National Provider Identifier Database

ORAL SURGERY IMPLANT CENTER
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

ORAL SURGERY & IMPLANT CENTER
7231 SW 63RD AVE
SOUTH MIAMI, FL33143-4809
Phone: 305-667-1191
Fax: 305-667-2712
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL SURGERY & IMPLANT CENTER

NPI Number 1760964977
Legal business name
LBN
ORAL SURGERY & IMPLANT CENTER
Authorized official FRED PEDROLETTI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/04/2018
Last updated 04/14/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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