HOLLYWOOD ORAL SURGERY, PLLC - NPI 1497228001

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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About Hollywood Oral Surgery, Pllc NPPES

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

HOLLYWOOD ORAL SURGERY, PLLC (NPI 1497228001) is a healthcare organization registered as an oral and maxillofacial surgery in Hollywood, Florida and active in the NPI registry since January 2019. The organization lists Joel A Berley, Owner, as its authorized official.

NPPES Registry Identity

NPI1497228001

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameHOLLYWOOD ORAL SURGERY, PLLC

Location Address4420 SHERIDAN STHollywood, FL 33021-3552

Mailing Address7500 Nw 5th St Ste 105Plantation, FL 33317-1612 · (954) 792-5544 · Fax (954) 792-5544

Phone(954) 792-5544

Fax(954) 587-6442

Organization SubpartNo

Authorized OfficialJoel A BerleyOwner · (954) 792-5544

Enumeration DateJanuary 7, 2019

✔ NPI 1497228001 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.

4420 SHERIDAN ST, Hollywood, FL 33021

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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