ORAL SURGERY CENTER OF WEST ORLANDO - NPI 1588878441

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 Oral Surgery Center Of West Orlando NPPES

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

ORAL SURGERY CENTER OF WEST ORLANDO (NPI 1588878441) is a healthcare organization registered as an oral and maxillofacial surgery in Winter Garden, Florida and active in the NPI registry since May 2007. The organization lists Hector L Briceno, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1588878441

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL SURGERY CENTER OF WEST ORLANDO

Location Address12200 W COLONIAL DR, SUITE 103Winter Garden, FL 34787-4125

Mailing Address12200 W Colonial Dr, Suite 103Winter Garden, FL 34787-4125 · (407) 656-9455 · Fax (407) 656-6145

Phone(407) 656-9455

Fax(407) 656-6145

Organization SubpartNo

Authorized OfficialHector L BricenoOral Surgeon · (407) 656-9455

Enumeration DateMay 10, 2007

Last NPPES UpdateMay 18, 2010

✔ NPI 1588878441 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 · 07-00004492

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.

12200 W COLONIAL DR, Winter Garden, FL 34787

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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