LAND O LAKES ORAL MAXILLOFACIAL & IMPLANT SURGERY
NPI 1235471590
Dentist - Oral and Maxillofacial Surgery in Land O Lakes, FL

Active since March 25, 2013
5420 LAND O LAKES BLVD, SUITE #103, LAND O LAKES, FL 34639(813) 528-8999(813) 528-8997 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Land O Lakes Oral Maxillofacial & Implant Surgery NPPES

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

LAND O LAKES ORAL MAXILLOFACIAL & IMPLANT SURGERY (NPI 1235471590) is a healthcare organization registered as an oral and maxillofacial surgery in Land O Lakes, Florida and active in the NPI registry since March 2013. The organization lists Jason Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1235471590
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLAND O LAKES ORAL MAXILLOFACIAL & IMPLANT SURGERY
Location Address5420 LAND O LAKES BLVD, SUITE #103Land O Lakes, FL 34639-3401
Mailing Address5420 Land O Lakes Blvd, Suite #103Land O Lakes, FL 34639-3401 · (813) 528-8999 · Fax (813) 528-8997
Fax(813) 528-8997
Organization SubpartNo
Authorized OfficialJason EdwardsPresident · (813) 528-8999
Enumeration DateMarch 25, 2013
NPI 1235471590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in FL · DN16709
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.
5420 LAND O LAKES BLVD, Land O Lakes, FL 34639

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 3

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

Clinic/Center
5420 LAND O LAKES BLVD, SUITE 105
LAND O LAKES, FL 34639
Dentist (Oral and Maxillofacial Surgery)
5420 LAND O LAKES BLVD, SUITE #104
LAND O LAKES, FL 34639
Chiropractor
5420 LAND O LAKES BLVD, SUITE 105
LAND O LAKES, FL 34639

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 Land O Lakes Oral Maxillofacial & Implant Surgery's NPI number?

The NPI number for Land O Lakes Oral Maxillofacial & Implant Surgery is 1235471590. It was assigned to this organization in the NPPES registry on March 25, 2013.

Where is Land O Lakes Oral Maxillofacial & Implant Surgery located?

Land O Lakes Oral Maxillofacial & Implant Surgery is located at 5420 Land O Lakes Blvd Suite #103, Land O Lakes, FL 34639. The listed phone number is (813) 528-8999.

What is Land O Lakes Oral Maxillofacial & Implant 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 Land O Lakes Oral Maxillofacial & Implant Surgery was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.