ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA (NPI# 1306230545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306230545 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA |
| Practice Address |
7651 Ashley Park Ct Suite 406b Orlando FL 32835-6114 |
| Practice Telephone | 4072943300 |
| Practice Fax Number | 4072977417 |
| Mailing Telephone | 4072943300 |
| Mailing Fax Number | 4072977417 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DOUGLAS KENT POWELSON (PRESIDENT) |
| Authorized Official Telephone | 4072943300 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN11672 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 074705000 | 05 |
| Street Address |
7651 ASHLEY PARK CT SUITE 406B |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952427395 | Douglas Kent Powelson | Dentist | 7651 Ashley Park Ct, Suite #406, Orlando, FL 32835-6114 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1689940272 | Trevisani Oral Surgery | Clinic/Center | 422 S Alafaya Trl, Suite 26, Orlando, FL 32828-8984 | 2012-03-28 |
| 1770859365 | Trevisani Oral Surgery | Clinic/Center | 4151 Hunters Park Ln, Suite 140, Orlando, FL 32837-3617 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875968 | Aq Surgery LLC | Clinic/Center | 14050 Integra Dr Apt 1134, Jacksonville, FL 32218-2666 | 2020-06-10 |
| 1568095255 | Broward Oral Surgery Pa | Clinic/Center | 3157 N University Dr Ste 104, Pembroke Pines, FL 33024-2258 | 2020-02-20 |
| 1497221352 | Ac O&m Services LLC | Clinic/Center | 4675 Van Dyke Rd, Lutz, FL 33558-4880 | 2018-10-18 |
| 1326549080 | Dental Designs of Naples LLC | Clinic/Center | 5048 Tamiami Trl N Ste A, Naples, FL 34103-2836 | 2018-02-27 |
| 1407395361 | Barry C Levine Dmd Pa | Clinic/Center | 5212 E Fowler Ave, Temple Terrace, FL 33617-2147 | 2017-02-13 |
| 1760722474 | Oral and Facial Surgery of Florida, Inc. | Clinic/Center | 19051 Us Highway 441, Suite 104, Mount Dora, FL 32757-6708 | 2013-02-18 |
| 1316211196 | Trevisani Oral Surgery | Clinic/Center | 511 Wekiva Commons Cir, Apopka, FL 32712-3645 | 2012-02-27 |
| 1386957744 | Regina H. Saenz, Dds, Pa | Clinic/Center | 950 N Krome Ave Ste 204, Homestead, FL 33030-4455 | 2010-07-14 |
| 1598883043 | Philip Marciano, M.d., P.a. | Clinic/Center | 9975 Tamiami Trl N, #4, Naples, FL 34108-1942 | 2007-03-26 |
| 1073143731 | Swan Oral & Facial Surgery, LLC | Clinic/Center | 407 S Kentucky Ave, Lakeland, FL 33801-5301 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA.
| 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.