PREMIER ORAL & FACIAL SURGERY (NPI# 1750933545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750933545 |
| Entity Type | Organization |
| Organization Name | PREMIER ORAL & FACIAL SURGERY |
| Practice Address |
13571 Narcoossee Road Orlando FL 32832-6952 |
| Mailing Address |
13571 Narcoossee Road Orlando FL 32832 |
| Practice Telephone | 4075532894 |
| Mailing Telephone | 4075532894 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | DR. ANDONIS TEREZIDES (MANAGER) |
| Authorized Official Telephone | 4076211900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
13571 NARCOOSSEE ROAD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| 1124567086 | Nilda Rivera | Counselor | 10200 Dwell Nona Place, Apt 109, Orlando, FL 32832 | 2017-02-13 |
| Find all providers in zip 32832 | ||||
| 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 |
|---|---|---|---|---|
| 1154838365 | Trevisani Oral Surgery Orlando Plc | Dentist | 10967 Lake Underhill Rd Ste 144, Orlando, FL 32825-4456 | 2018-01-09 |
| 1598021016 | Jonathan Clinton Elmore | Dentist | 688 N Alafaya Trl Ste 107, Orlando, FL 32828-4355 | 2012-04-10 |
| 1700053881 | Oral & Maxillofacial Surgeons of Mid-florida, Pa | Dentist | 1100 Lucerne Ter, Suite 100, Orlando, FL 32806-1050 | 2008-05-08 |
| 1871768978 | Frankie Miguel Gomez | Dentist | 610 N Mills Ave Ste 100, Orlando, FL 32803-7103 | 2008-04-29 |
| 1952427395 | Douglas Kent Powelson | Dentist | 7651 Ashley Park Ct, Suite #406, Orlando, FL 32835-6114 | 2007-03-21 |
| 1497798433 | Carlos M Alvarez | Dentist | 420 E Church St Unit 905, Orlando, FL 32801 | 2006-06-14 |
| 1114987831 | Ramon L Ruiz | Dentist | 207 W Gore St Ste 302, Orlando, FL 32806-1014 | 2006-03-25 |
| 1114990470 | Wilbur M Davis Jr. | Dentist | 610 N Mills Ave, Ste 100, Orlando, FL 32803-7119 | 2006-02-08 |
| 1265405518 | Barry A Loughner | Dentist | 610 North Mills Ave, Ste 100, Orlando, FL 32803 | 2006-02-08 |
| 1952866600 | Institute for The Treatment of Craniofacial Pain, Pa | Dentist | 2122 E Robinson St, Orlando, FL 32803-6047 | 2019-02-07 |
| Find all providers in ORLANDO | ||||
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| 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.