WINTER HAVEN ORAL SURGERY, PA
NPI 1609122357
Dentist - Oral and Maxillofacial Surgery in Winter Haven, FL

Q: What is Winter Haven Oral Surgery, PA's NPI number?

The NPI number for Winter Haven Oral Surgery, PA is 1609122357. It was assigned to this organization in the NPPES registry on July 31, 2012.

Q: What is Winter Haven Oral Surgery, PA's specialty?

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

Active since July 31, 2012

400 AVENUE K SE, SUITE # 14A, WINTER HAVEN, FL 33880(863) 294-7648(863) 294-9045 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Winter Haven Oral Surgery, Pa NPPES

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

WINTER HAVEN ORAL SURGERY, PA (NPI 1609122357) is a healthcare organization registered as an oral and maxillofacial surgery in Winter Haven, Florida and active in the NPI registry since July 2012. The organization lists Jose Luis Leon Ramirez, Vice President, as its authorized official.

NPPES Registry Identity

NPI1609122357

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameWINTER HAVEN ORAL SURGERY, PA

Location Address400 AVENUE K SE, SUITE # 14AWinter Haven, FL 33880-4146

Mailing Address400 Avenue K Se, Suite # 14aWinter Haven, FL 33880-4146 · (863) 294-7648 · Fax (863) 294-9045

Phone(863) 294-7648

Fax(863) 294-9045

Organization SubpartNo

Authorized OfficialJose Luis Leon RamirezVice President · (863) 294-7648

Enumeration DateJuly 31, 2012

Last NPPES UpdateAugust 21, 2014

✔ NPI 1609122357 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 · DN18539

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.

400 AVENUE K SE, Winter Haven, FL 33880

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

LARUE AND LARUE PEDIATRICS

Specialist

400 AVENUE K SE, STE 5
WINTER HAVEN, FL 33880

Polk County (863) 293-3909

DR. RIGO CORNEJO DMD MD

Dentist (Oral and Maxillofacial Surgery)

400 AVENUE K SE, SUITE #14A
WINTER HAVEN, FL 33880

Polk County (863) 294-7648

RADIOLOGY CONSULTANTS IMAGING CENTER LLC

Clinic/Center (Radiology)

400 AVENUE K SE, BUILDING 4
WINTER HAVEN, FL 33880

Polk County (863) 292-0297

DR. JOHN I PARK DMD

Dentist (General Practice)

400 AVENUE K SE, STE 12
WINTER HAVEN, FL 33880

Polk County (863) 293-0023

INTERNAL MEDICINE GROUP OF WINTER HAVEN,P.A.

Internal Medicine

400 AVENUE K SE, SUITE 11
WINTER HAVEN, FL 33880

Polk County (863) 294-4404

DR. DAVID C NEAL DDS

Dentist (Oral and Maxillofacial Surgery)

400 AVENUE K SE, SUITE #14A
WINTER HAVEN, FL 33880

Polk County (863) 294-7648

EVE JOHNSON PA-C

Physician Assistant (Medical)

400 AVENUE K SE, SUITE 11
WINTER HAVEN, FL 33880

Polk County (863) 294-4404

TAMARA PISTORIA D.O.

Pediatrics

400 AVENUE K SE, STE 5
WINTER HAVEN, FL 33880

Polk County (863) 293-3909

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 Winter Haven Oral Surgery, PA's NPI number?

The NPI number for Winter Haven Oral Surgery, PA is 1609122357. It was assigned to this organization in the NPPES registry on July 31, 2012.

Where is Winter Haven Oral Surgery, PA located?

Winter Haven Oral Surgery, PA is located at 400 Avenue K SE Suite # 14A, Winter Haven, FL 33880. The listed phone number is (863) 294-7648.

What is Winter Haven Oral 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 Winter Haven Oral Surgery, PA was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.