TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
NPI 1164932356
Dentist - Oral and Maxillofacial Surgery in St Petersburg, FL

Active since October 03, 2017
2140 16TH ST N, ST PETERSBURG, FL 33704(727) 894-1442 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 21, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Tampa Bay Maxillofacial Surgery, Pllc NPPES

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

TAMPA BAY MAXILLOFACIAL SURGERY, PLLC (NPI 1164932356) is a healthcare organization registered as an oral and maxillofacial surgery in St Petersburg, Florida and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Trinity and lists Robert J Yu, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1164932356
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTAMPA BAY MAXILLOFACIAL SURGERY, PLLC
Location Address2140 16TH ST NSt Petersburg, FL 33704-3924
Mailing Address4021 Las Palmas WaySarasota, FL 34238-4531 · (727) 424-5540
Organization SubpartNo
Authorized OfficialRobert J YuManaging Member · (727) 894-1442
Enumeration DateOctober 3, 2017
Last NPPES UpdateJune 21, 20192 updates tracked since enumeration
NPI 1164932356 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 ListedClinic/Center · DentalTaxonomy 261QD0000X
2140 16TH ST N, St Petersburg, FL 33704

Secondary Practice Location 1

Location 18804 Hawbuck StTrinity, FL 34655-5360 · Phone (727) 894-1442

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Oral & Maxillofacial Surgery
2140 16TH ST N
ST PETERSBURG, FL 33704
Oral & Maxillofacial Surgery
2140 16TH ST N
ST PETERSBURG, FL 33704

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 Tampa Bay Maxillofacial Surgery, PLLC's NPI number?

The NPI number for Tampa Bay Maxillofacial Surgery, PLLC is 1164932356. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Tampa Bay Maxillofacial Surgery, PLLC located?

Tampa Bay Maxillofacial Surgery, PLLC is located at 2140 16th St N, St Petersburg, FL 33704. The listed phone number is (727) 894-1442.

What is Tampa Bay Maxillofacial Surgery, PLLC's specialty?

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

What insurance does Tampa Bay Maxillofacial Surgery, PLLC accept?

Health plans from UnitedHealthcare list Tampa Bay Maxillofacial Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tampa Bay Maxillofacial Surgery, PLLC was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.