BAY RAEA ORAL & FACIAL SURGERY
NPI 1205143419
Dentist - Oral and Maxillofacial Surgery in New Port Richey, FL

Active since September 09, 2010
5636 GRAND BLVD, NEW PORT RICHEY, FL 34652(727) 845-3282(727) 937-9213 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bay Raea Oral & Facial Surgery NPPES

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

BAY RAEA ORAL & FACIAL SURGERY (NPI 1205143419) is a healthcare organization registered as an oral and maxillofacial surgery in New Port Richey, Florida and active in the NPI registry since September 2010. The organization lists Cary Wayne Stimson, President, as its authorized official.

NPPES Registry Identity

NPI1205143419
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBAY RAEA ORAL & FACIAL SURGERY
Location Address5636 GRAND BLVDNew Port Richey, FL 34652-3875
Mailing Address5636 Grand BlvdNew Port Richey, FL 34652-3875 · (727) 845-3282 · Fax (727) 937-9213
Fax(727) 937-9213
Organization SubpartNo
Authorized OfficialCary Wayne StimsonPresident · (727) 738-1716
Enumeration DateSeptember 9, 2010
✔ NPI 1205143419 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.
5636 GRAND BLVD, New Port Richey, FL 34652

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

Other Providers at the Same Location NPPES 4

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

Dentist
5636 GRAND BLVD
NEW PORT RICHEY, FL 34652
Dentist
5636 GRAND BLVD
NEW PORT RICHEY, FL 34652
Dentist (General Practice)
5636 GRAND BLVD
NEW PORT RICHEY, FL 34652
Dentist (General Practice)
5636 GRAND BLVD
NEW PORT RICHEY, FL 34652

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 Bay Raea Oral & Facial Surgery's NPI number?

The NPI number for Bay Raea Oral & Facial Surgery is 1205143419. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Bay Raea Oral & Facial Surgery located?

Bay Raea Oral & Facial Surgery is located at 5636 Grand Blvd, New Port Richey, FL 34652. The listed phone number is (727) 845-3282.

What is Bay Raea Oral & Facial Surgery'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 Bay Raea Oral & Facial Surgery was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.