National Provider Identifier Database

TAMPA BAY MAXILLOFACIAL SURGERY PLLC
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

TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
2140 16TH ST N
SAINT PETERSBURG, FL33704-3924
Phone: 727-894-1442
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 1223S0112X
Dental 261QD0000X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for TAMPA BAY MAXILLOFACIAL SURGERY, PLLC

NPI Number 1164932356
Legal business name
LBN
TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
Authorized official ROBERT YU - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 10/03/2017
Last updated 06/21/2019 - About 7 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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