ORAL AND MAXILLOFACIAL SURGERY OF THE PALM BEACHES, LLC (NPI# 1871824581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871824581 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLOFACIAL SURGERY OF THE PALM BEACHES, LLC |
| Practice Address |
1920 Palm Beach Lakes Blvd 105 West Palm Beach FL 33409-3512 |
| Practice Telephone | 5612429990 |
| Practice Fax Number | 5612429994 |
| Mailing Telephone | 5612429990 |
| Mailing Fax Number | 5612429994 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | DR. ROLF B WOLFROM (OWNER) |
| Authorized Official Telephone | 5612429990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN8638 | FL | Dental Providers |
| Street Address |
1920 PALM BEACH LAKES BLVD 105 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700848884 | Stuart L. Wanuck | Specialist | 1920 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-3512 | 2006-04-04 |
| 1578059929 | Jaywanti Shah | Nurse Practitioner | 1920 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-3512 | 2018-07-09 |
| 1578009411 | Edward J Penza | Dentist | 1920 Palm Beach Lakes Blvd, Ste 108, West Palm Beach, FL 33409-3512 | 2017-01-17 |
| 1790087310 | Kimberlee Cain Lcsw | Social Worker | 1920 Palm Beach Lakes Blvd, Suite 102, West Palm Beach, FL 33409-3512 | 2010-12-02 |
| 1043532799 | Stuart L Wanuck M D P A | Urology | 1920 Palm Beach Lakes Blvd, Suite 115, West Palm Beach, FL 33409-3512 | 2010-02-23 |
| 1124352919 | Brace Med Orthopedics Inc | Prosthetic/Orthotic Supplier | 1920 Palm Beach Lakes Blvd, Suite# 104, West Palm Beach, FL 33409-3505 | 2009-09-25 |
| 1245418920 | Arthur Binkowitz D.p.m. | Prosthetic/Orthotic Supplier | 1920 Palm Beach Lakes Blvd, Ste 118, West Palm Beach, FL 33409-3512 | 2008-02-05 |
| 1861677296 | Jessica Scarlott | Physical Therapy Assistant | 1920 Palm Beach Lakes Blvd, Suite 110, West Palm Beach, FL 33409-3512 | 2008-01-03 |
| 1356541973 | Jennifer M Tindall | Specialist/Technologist | 1920 Palm Beach Lakes Blvd, Suite 110, West Palm Beach, FL 33409-3512 | 2007-07-22 |
| 1659587509 | Kenneth Roy Scholl | Physical Therapist | 1920 Palm Beach Lakes Blvd, Suite 110, West Palm Beach, FL 33409-3512 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| 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 |
|---|---|---|---|---|
| 1134122401 | Howard Begel | Dentist | 10598 Hollow Bay Ter, West Palm Beach, FL 33412-3030 | 2005-05-31 |
| 1801139118 | Facial Orthopedics Inc | Dentist | 951 Sansburys Way, Suite 201, West Palm Beach, FL 33411-3619 | 2013-04-04 |
| 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 | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on ORAL AND MAXILLOFACIAL SURGERY OF THE PALM BEACHES, LLC.
| 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.