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CITRUS ORAL AND MAXILLOFACIAL SURGERY PA
NPI 1447528906
Dentist - Oral and Maxillofacial Surgery in Crystal River, FL

Active since December 12, 2011
6129 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429(352) 795-4994 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Citrus Oral And Maxillofacial Surgery Pa NPPES

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

CITRUS ORAL AND MAXILLOFACIAL SURGERY PA (NPI 1447528906) is a healthcare organization registered as an oral and maxillofacial surgery in Crystal River, Florida and active in the NPI registry since December 2011. The organization lists Robert L Brockett, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1447528906
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCITRUS ORAL AND MAXILLOFACIAL SURGERY PA
Location Address6129 W CORPORATE OAKS DRCrystal River, FL 34429-8732
Mailing Address6129 W Corporate Oaks DrCrystal River, FL 34429-8732 · (352) 795-4994
Phone(352) 795-4994
Organization SubpartNo
Authorized OfficialRobert L BrockettOwner/president · (352) 795-4994
Enumeration DateDecember 12, 2011
✔ NPI 1447528906 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 · 8810
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.
6129 W CORPORATE OAKS DR, Crystal River, FL 34429
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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 4

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

MARLEN GRACE MARIN APRN
Nurse Practitioner
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Citrus County (352) 795-4994
CITRUS ORAL AND FACIAL SURGERY AT OCALA, LLC
Dentist (Oral and Maxillofacial Surgery)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Citrus County (352) 795-4994
LINDSEY HARRELL DRAFT MSN, APRN, FNP-C
Nurse Practitioner (Family)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Citrus County (352) 795-4994
ROBERT L BROCKETT D.M.D.
Dentist (Oral and Maxillofacial Surgery)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Citrus County (352) 795-4994

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 Citrus Oral And Maxillofacial Surgery PA's NPI number?

The NPI number for Citrus Oral And Maxillofacial Surgery PA is 1447528906. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is Citrus Oral And Maxillofacial Surgery PA located?

Citrus Oral And Maxillofacial Surgery PA is located at 6129 W Corporate Oaks Dr, Crystal River, FL 34429. The listed phone number is (352) 795-4994.

What is Citrus Oral And Maxillofacial Surgery PA'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 Citrus Oral And Maxillofacial Surgery PA was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.