FISHHAWK ORAL AND FACIAL SURGERY LLC
NPI 1164390860
Dentist - Oral and Maxillofacial Surgery in Lithia, FL

Q: What is Fishhawk Oral And Facial Surgery LLC's NPI number?

The NPI number for Fishhawk Oral And Facial Surgery LLC is 1164390860. It was assigned to this organization in the NPPES registry on October 25, 2025.

Q: What is Fishhawk Oral And Facial Surgery LLC's specialty?

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

Active since October 25, 2025

16132 CHURCHVIEW DR STE 101, LITHIA, FL 33547(813) 687-5257(813) 687-5275 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Fishhawk Oral And Facial Surgery Llc NPPES

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

FISHHAWK ORAL AND FACIAL SURGERY LLC (NPI 1164390860) is a healthcare organization registered as an oral and maxillofacial surgery in Lithia, Florida and active in the NPI registry since October 2025. The organization lists Travis Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1164390860

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameFISHHAWK ORAL AND FACIAL SURGERY LLC

Location Address16132 CHURCHVIEW DR STE 101Lithia, FL 33547-3850

Mailing Address16132 Churchview Dr Ste 101Lithia, FL 33547-3850 · (813) 687-5257 · Fax (813) 687-5275

Phone(813) 687-5257

Fax(813) 687-5275

Organization SubpartNo

Authorized OfficialTravis WilliamsOwner · (813) 687-5257

Enumeration DateOctober 25, 2025

NPPES CertifiedOctober 25, 2025

✔ NPI 1164390860 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.

16132 CHURCHVIEW DR STE 101, Lithia, FL 33547

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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

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 Fishhawk Oral And Facial Surgery LLC's NPI number?

The NPI number for Fishhawk Oral And Facial Surgery LLC is 1164390860. It was assigned to this organization in the NPPES registry on October 25, 2025.

Where is Fishhawk Oral And Facial Surgery LLC located?

Fishhawk Oral And Facial Surgery LLC is located at 16132 Churchview Dr Ste 101, Lithia, FL 33547. The listed phone number is (813) 687-5257.

What is Fishhawk Oral And Facial Surgery 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 Fishhawk Oral And Facial Surgery LLC was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.