ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC
NPI 1003285339
Dentist - Oral and Maxillofacial Surgery in Delray Beach, FL

Q: What is Advanced Dentistry South Florida Sepcialists LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 16, 2015

15340 JOG RD STE 100, DELRAY BEACH, FL 33446(561) 495-2099 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Advanced Dentistry South Florida Sepcialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC (NPI 1003285339) is a healthcare organization registered as an oral and maxillofacial surgery in Delray Beach, Florida and active in the NPI registry since September 2015. The organization lists Kelli Carter Staller, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1003285339

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC

Location Address15340 JOG RD STE 100Delray Beach, FL 33446-2170

Mailing Address15340 Jog Rd Ste 100Delray Beach, FL 33446-2170 · (561) 495-2099

Phone(561) 495-2099

Organization SubpartYesParent: Richard J Staller Dds Pa

Authorized OfficialKelli Carter StallerPractice Administrator · (561) 495-2099

Enumeration DateSeptember 16, 2015

✔ NPI 1003285339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

15340 JOG RD STE 100, Delray Beach, FL 33446

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dentistry South Florida Sepcialists LLC's NPI number?

The NPI number for Advanced Dentistry South Florida Sepcialists LLC is 1003285339. It was assigned to this organization in the NPPES registry on September 16, 2015.

Where is Advanced Dentistry South Florida Sepcialists LLC located?

Advanced Dentistry South Florida Sepcialists LLC is located at 15340 Jog Rd Ste 100, Delray Beach, FL 33446. The listed phone number is (561) 495-2099.

What is Advanced Dentistry South Florida Sepcialists LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Advanced Dentistry South Florida Sepcialists LLC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.