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FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA
NPI 1669111902
Oral & Maxillofacial Surgery in Orlando, FL

Active since June 03, 2022
7350 SANDLAKE COMMONS BLVD STE 2212A, ORLANDO, FL 32819(407) 463-9588(949) 798-7844 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Florida Maxillofacial And Reconstructive Surgery Pa NPPES

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

FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA (NPI 1669111902) is a healthcare organization registered as an oral & maxillofacial surgery in Orlando, Florida and active in the NPI registry since June 2022. The organization lists Terry Su, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1669111902
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameFLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA
Location Address7350 SANDLAKE COMMONS BLVD STE 2212AOrlando, FL 32819-8031
Mailing AddressPo Box 1112Windermere, FL 34786-1112 · (407) 463-9588 · Fax (949) 798-7844
Phone(407) 463-9588
Fax(949) 798-7844
Organization SubpartNo
Authorized OfficialTerry SuOwner/md · (407) 463-9588
Enumeration DateJune 3, 2022
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1669111902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
7350 SANDLAKE COMMONS BLVD STE 2212A, Orlando, FL 32819
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Maxillofacial And Reconstructive Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Florida Maxillofacial And Reconstructive Surgery PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terry Su, M.D.
Maxillofacial Surgery
NPI 1205164878
7350 SANDLAKE COMMONS BLVD STE 2212A
Orlando, FL 32819
(407) 463-9588
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Florida Maxillofacial And Reconstructive Surgery PA's NPI number?

The NPI number for Florida Maxillofacial And Reconstructive Surgery PA is 1669111902. It was assigned to this organization in the NPPES registry on June 3, 2022.

Where is Florida Maxillofacial And Reconstructive Surgery PA located?

Florida Maxillofacial And Reconstructive Surgery PA is located at 7350 Sandlake Commons Blvd Ste 2212A, Orlando, FL 32819. The listed phone number is (407) 463-9588.

What is Florida Maxillofacial And Reconstructive Surgery PA's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Florida Maxillofacial And Reconstructive Surgery PA enrolled in Medicare?

Yes. Florida Maxillofacial And Reconstructive Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Maxillofacial And Reconstructive Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Florida Maxillofacial And Reconstructive Surgery PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Florida Maxillofacial And Reconstructive Surgery PA accept?

Health plans from Molina Healthcare list Florida Maxillofacial And Reconstructive Surgery PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Maxillofacial And Reconstructive Surgery PA was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.