SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA
NPI 1376890673
Dentist - Oral and Maxillofacial Surgery in Coral Springs, FL

Q: What is South Florida Dental Surgical Specialists PA's specialty?

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

Active since August 06, 2012

9600 W SAMPLE RD, SUITE 504, CORAL SPRINGS, FL 33065(954) 340-6550(954) 340-8488 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About South Florida Dental Surgical Specialists Pa NPPES

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

SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA (NPI 1376890673) is a healthcare organization registered as an oral and maxillofacial surgery in Coral Springs, Florida and active in the NPI registry since August 2012. The organization lists Jeffrey F. Elliot, President, as its authorized official.

NPPES Registry Identity

NPI1376890673

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA

Location Address9600 W SAMPLE RD, SUITE 504Coral Springs, FL 33065-4045

Mailing Address9600 W Sample Rd, Suite 504Coral Springs, FL 33065-4045 · (954) 340-6550

Phone(954) 340-6550

Fax(954) 340-8488

Organization SubpartNo

Authorized OfficialJeffrey F. ElliotPresident · (954) 340-6550

Enumeration DateAugust 6, 2012

Last NPPES UpdateFebruary 11, 2013

✔ NPI 1376890673 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 · DN 11443

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.

9600 W SAMPLE RD, Coral Springs, FL 33065

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Florida Dental Surgical Specialists Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Florida Dental Surgical Specialists PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Elliot, DMD

Oral Surgery

NPI 1821118795

1401 N UNIVERSITY DR STE 404
Coral Springs, FL 33071

(954) 360-6550

✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 South Florida Dental Surgical Specialists PA's NPI number?

The NPI number for South Florida Dental Surgical Specialists PA is 1376890673. It was assigned to this organization in the NPPES registry on August 6, 2012.

Where is South Florida Dental Surgical Specialists PA located?

South Florida Dental Surgical Specialists PA is located at 9600 W Sample Rd Suite 504, Coral Springs, FL 33065. The listed phone number is (954) 340-6550.

What is South Florida Dental Surgical Specialists PA's specialty?

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

Is South Florida Dental Surgical Specialists PA enrolled in Medicare?

Yes. South Florida Dental Surgical Specialists PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Florida Dental Surgical Specialists PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to South Florida Dental Surgical Specialists PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Florida Dental Surgical Specialists PA was last updated on February 11, 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.