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TREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC
NPI 1417618463
Dentist - Oral and Maxillofacial Surgery in Port St Lucie, FL

Active since January 03, 2022
1265 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 337-4798(772) 337-2004 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc NPPES

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

TREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC (NPI 1417618463) is a healthcare organization registered as an oral and maxillofacial surgery in Port St Lucie, Florida and active in the NPI registry since January 2022. The organization lists Stephanie Kauffman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417618463
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC
Location Address1265 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5376
Mailing Address1265 Se Port St Lucie BlvdPort St Lucie, FL 34952-5376 · (772) 337-4798 · Fax (772) 337-2004
Phone(772) 337-4798
Fax(772) 337-2004
Organization SubpartNo
Authorized OfficialStephanie KauffmanOffice Manager · (772) 337-4798
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1417618463 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.
1265 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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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

Other Providers at the Same Location NPPES

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

DR. JEFFREY MICHAEL BROWN D.M.D, M.D.
Dentist (Oral and Maxillofacial Surgery)
1265 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4798

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 Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc's NPI number?

The NPI number for Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc is 1417618463. It was assigned to this organization in the NPPES registry on January 3, 2022.

Where is Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc located?

Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc is located at 1265 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 337-4798.

What is Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc'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 Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.