PROFILES II ORAL AND FACIAL SURGERY CENTER (NPI# 1124355037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124355037 |
| Entity Type | Organization |
| Organization Name | PROFILES II ORAL AND FACIAL SURGERY CENTER |
| Practice Address |
2560 Rca Blvd Suite 102 Palm Beach Gardens FL 33410-3338 |
| Practice Telephone | 5616229065 |
| Mailing Telephone | 5616229065 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2011-07-15 |
| Authorized Official Name | MS. JANICE SCOTLAND (OFFICE MANAGER) |
| Authorized Official Telephone | 5616229065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN17793 | FL | Dental Providers |
| Street Address |
2560 RCA BLVD SUITE 102 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408110 | Gary Robert Allegretti | Optometrist | 2560 Rca Blvd, Suite 114, Palm Beach Gardens, FL 33410-3338 | 2005-09-23 |
| 1538565064 | Christopher W. Ricker,dmd, Pa | Dentist | 2560 Rca Blvd, Suite #110, Palm Beach Gardens, FL 33410-3338 | 2014-11-11 |
| 1285030148 | Samuel J. Holcroft, Dmd.pa | Dentist | 2560 Rca Blvd, Suite 101, Palm Beach Gardens, FL 33410-3338 | 2014-11-05 |
| 1104267244 | Chase Dental Sleepcare of Palm Beach Gardens | Dentist | 2560 Rca Blvd, #105, Palm Beach Gardens, FL 33410-3338 | 2013-07-16 |
| 1073868931 | David S Mcewen Dcpa | Chiropractor | 2560 Rca Blvd, 109, Palm Beach Gardens, FL 33410-3338 | 2012-07-17 |
| 1477837011 | Profiles II Oral and Facial Surgery,pllc | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2011-09-30 |
| 1992996755 | Samuel Joseph Holcroft | Dentist | 2560 Rca Blvd, Suite 101, Palm Beach Gardens, FL 33410-3338 | 2007-08-07 |
| 1538381868 | Lizanne P Blake | Speech-Language Pathologist | 2560 Rca Blvd, Suite 106, Palm Beach Gardens, FL 33410-3338 | 2007-05-03 |
| 1649300302 | Rolf Wolfrom | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2007-03-06 |
| 1053441717 | Roger E Freilich | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083817142 | Makepeace B Charles | Dentist | 2560 Rca Blvd., Suite #102, Palm Beach Gardens, FL 33410-3335 | 2007-06-07 |
| 1528173622 | Robert A Laird Dds Pa | Dentist | 3355 Burns Rd Ste 102, Palm Beach Gardens, FL 33410-4354 | 2006-08-20 |
| 1598724825 | Richard Wayne Kaplan | Dentist | 1951 Bomar Dr, Palm Beach Gardens, FL 33408-3006 | 2006-03-23 |
| 1861839714 | Richard W. Kaplan, D.d.s, M.d., P.a. | Dentist | 1951 Bomar Dr, Palm Beach Gardens, FL 33408-3006 | 2013-06-03 |
| 1477837011 | Profiles II Oral and Facial Surgery,pllc | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2011-09-30 |
| 1649300302 | Rolf Wolfrom | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2007-03-06 |
| 1053441717 | Roger E Freilich | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2007-03-06 |
| 1558434365 | Freilich & Wolfrom | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2006-11-17 |
| 1164504189 | South Florida Oral & Maxillofacial Surgery | Dentist | 3400 Burns Rd, #103, Palm Beach Gardens, FL 33410-4325 | 2006-10-19 |
| 1396852257 | Federico Grande | Dentist | 2560 Rca Blvd, Suite 102, Palm Beach Gardens, FL 33410-3338 | 2006-08-24 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on PROFILES II ORAL AND FACIAL SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.