AMP ORAL AND MAXILLOFACIAL SURGERY, PA - NPI 1144812348

Q: What is Amp Oral And Maxillofacial Surgery, PA's specialty?

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

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About Amp Oral And Maxillofacial Surgery, Pa NPPES

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

AMP ORAL AND MAXILLOFACIAL SURGERY, PA (NPI 1144812348) is a healthcare organization registered as an oral and maxillofacial surgery in Orlando, Florida and active in the NPI registry since February 2021. The organization lists Jonathan Clinton Elmore, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144812348

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameAMP ORAL AND MAXILLOFACIAL SURGERY, PA

Location Address3861 AVALON PARK EAST BLVDOrlando, FL 32828-4853

Mailing Address10524 Moss Park Rd Ste 204-616Orlando, FL 32832-5898 · (678) 480-9808

Phone(407) 544-0139

Organization SubpartNo

Authorized OfficialJonathan Clinton ElmoreOwner/authorized Official · (678) 480-9808

Enumeration DateFebruary 9, 2021

Last NPPES UpdateApril 22, 20242 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1144812348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3861 AVALON PARK EAST BLVD, Orlando, FL 32828

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Solstice Benefits and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

MEDCARE XPRESS WALK-IN CLINIC OF AVALON, LLC

Clinic/Center (Primary Care)