SOUTHWEST FLORIDA ORAL & FACIAL SURGERY
NPI 1649230210
Dentist - Oral and Maxillofacial Surgery in Fort Myers, FL

Q: What is Southwest Florida Oral & Facial Surgery's specialty?

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

Active since March 27, 2006CLIA 10D2051603 · Waiver

8267 COLLEGE PARKWAY, FORT MYERS, FL 33919(239) 938-3025(239) 936-1954 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southwest Florida Oral & Facial Surgery NPPES

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

SOUTHWEST FLORIDA ORAL & FACIAL SURGERY (NPI 1649230210) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Myers, Florida and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Kathy Siano, Billing Insurance Corrdinator, as its authorized official.

NPPES Registry Identity

NPI1649230210

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHWEST FLORIDA ORAL & FACIAL SURGERY

Location Address8267 COLLEGE PARKWAYFort Myers, FL 33919-5193

Mailing Address8267 College PkwyFort Myers, FL 33919-5193 · (239) 938-3025 · Fax (239) 936-1954

Phone(239) 938-3025

Fax(239) 936-1954

Organization SubpartNo

Authorized OfficialKathy SianoBilling Insurance Corrdinator · 23999383025

Enumeration DateMarch 27, 2006

Last NPPES UpdateSeptember 16, 2010

✔ NPI 1649230210 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.

8267 COLLEGE PARKWAY, Fort Myers, FL 33919

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Other Identifiers 3

Medicare ID-Type Unspecified63536FL

Medicare UPINU18366FL

Medicare ID-Type Unspecified40442FL · Group Number

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2051603

Southwest Florida Oral And Facial Surgery PA · Fort Myers, FL

Active · expires Dec 20, 2026

CLIA Number10D2051603

Laboratory TypePhysician Office

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorJulie A. Simpson

Laboratory Phone(239) 936-8151

Laboratory LocationSouthwest Florida Oral And Facial Surgery PA8267 College Pkwy, Fort Myers, FL 33919

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MARK R STREATER DMD

Dentist (Oral and Maxillofacial Surgery)

8267 COLLEGE PARKWAY
FORT MYERS, FL 33919

Lee County (239) 938-3020

HEATHER L MOULZOLF ARNP

Dentist (Oral and Maxillofacial Surgery)

8267 COLLEGE PARKWAY
FORT MYERS, FL 33919

Lee County (239) 936-8151

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 Southwest Florida Oral & Facial Surgery's NPI number?

The NPI number for Southwest Florida Oral & Facial Surgery is 1649230210. It was assigned to this organization in the NPPES registry on March 27, 2006.

Where is Southwest Florida Oral & Facial Surgery located?

Southwest Florida Oral & Facial Surgery is located at 8267 College Parkway, Fort Myers, FL 33919. The listed phone number is (239) 938-3025.

What is Southwest Florida Oral & Facial Surgery's specialty?

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

Does Southwest Florida Oral & Facial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2051603) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Florida Oral & Facial Surgery was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.