National Provider Identifier Database

EASTSIDE SURGICAL SERVICES INC
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

EASTSIDE SURGICAL SERVICES, INC.
5400 N FEDERAL HWY
SUITE 102
FORT LAUDERDALE, FL33308-3201
Phone: 954-771-8772
Fax: 954-771-8072
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for EASTSIDE SURGICAL SERVICES, INC.

NPI Number 1972624344
Legal business name
LBN
EASTSIDE SURGICAL SERVICES, INC.
Authorized official LESLIE SULTAN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 10648

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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