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TREVISANI ORAL SURGERY
NPI 1053687640
Clinic/Center - Oral and Maxillofacial Surgery in Orange City, FL

Active since March 28, 2012
2574 S VOLUSIA AVE, ORANGE CITY, FL 32763(386) 774-2999(386) 774-4922 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trevisani Oral Surgery NPPES

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

TREVISANI ORAL SURGERY (NPI 1053687640) is a healthcare organization registered as an oral and maxillofacial surgery in Orange City, Florida and active in the NPI registry since March 2012. The organization lists Tammy Eagle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053687640
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameTREVISANI ORAL SURGERY
Location Address2574 S VOLUSIA AVEOrange City, FL 32763-9123
Mailing Address2574 S Volusia AveOrange City, FL 32763-9123 · (386) 774-2999 · Fax (386) 774-4922
Phone(386) 774-2999
Fax(386) 774-4922
Organization SubpartNo
Authorized OfficialTammy EagleAdministrator · (407) 886-2050
Enumeration DateMarch 28, 2012
✔ NPI 1053687640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in FL · DN13576
Definition
An oral and maxillofacial surgery clinic or center 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.
2574 S VOLUSIA AVE, Orange City, FL 32763
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAXON INTERNAL MEDICINE P A
Internal Medicine
2574 S VOLUSIA AVE
ORANGE CITY, FL 32763
Volusia County (386) 775-1086
MELISSA GOUCHENOUER FNP
Nurse Practitioner
2574 S VOLUSIA AVE
ORANGE CITY, FL 32763
Volusia County (386) 775-1086
UZMA AHMED KHURSHID MD
Internal Medicine
2574 S VOLUSIA AVE
ORANGE CITY, FL 32763
Volusia County (386) 775-1086

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 Trevisani Oral Surgery's NPI number?

The NPI number for Trevisani Oral Surgery is 1053687640. It was assigned to this organization in the NPPES registry on March 28, 2012.

Where is Trevisani Oral Surgery located?

Trevisani Oral Surgery is located at 2574 S Volusia Ave, Orange City, FL 32763. The listed phone number is (386) 774-2999.

What is Trevisani Oral Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Trevisani Oral Surgery was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.