BLUM-NICO ORAL FACIAL SURGERY ASSOCIATES, PLLC (NPI# 1467737684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467737684 |
| Entity Type | Organization |
| Organization Name | BLUM-NICO ORAL FACIAL SURGERY ASSOCIATES, PLLC |
| Practice Address |
4308 Alton Rd Ste 850 Miami Beach FL 33140-4558 |
| Practice Telephone | 3055384556 |
| Practice Fax Number | 3055382019 |
| Mailing Telephone | 3055384556 |
| Mailing Fax Number | 3055382019 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DR. JEFFERY D. BLUM (OWNER) |
| Authorized Official Telephone | 3055384556 |
| Authorized Official Credential | DENTIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
L11000065863 | FL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
L11000065863 | FL | Dental Providers |
| Street Address |
4308 ALTON RD STE 850 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154569945 | Blum Surgical Associates, LLC | Dentist | 4308 Alton Rd Ste 850, Miami Beach, FL 33140-4558 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| 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 |
|---|---|---|---|---|
| 1154569945 | Blum Surgical Associates, LLC | Dentist | 4308 Alton Rd Ste 850, Miami Beach, FL 33140-4558 | 2009-02-02 |
| 1629192786 | Juan Carlos Arroyo | Dentist | 333 W 41st St Ste 818, Miami Beach, FL 33140-3608 | 2007-03-16 |
| 1407252893 | Osbel Borges Dmd Pa | Dentist | 4308 Alton Rd, Suite 940, Miami Beach, FL 33140-4556 | 2014-11-12 |
| 1518196013 | Jeffrey D. Blum, D.d.s., P.a. | Dentist | 4308 Alton Rd, Suite 850, Miami Beach, FL 33140-4556 | 2009-07-07 |
| 1902044332 | Eduardo Nicolaievsky | Dentist | 4308 Alton Rd, Suite #850, Miami Beach, FL 33140-4556 | 2009-01-22 |
| 1518905579 | Jeffrey Dennis Blum | Dentist | 4308 Alton Rd, Suite 850, Miami Beach, FL 33140-4556 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on BLUM-NICO ORAL FACIAL SURGERY ASSOCIATES, PLLC.
| 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.