TREVISANI ORAL SURGERY
NPI 1699041285
Clinic/Center - Oral and Maxillofacial Surgery in Oviedo, FL

Active since March 28, 2012
1410 W BROADWAY ST, SUITE 204, OVIEDO, FL 32765(407) 366-2243(407) 359-3343 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trevisani Oral Surgery NPPES

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

TREVISANI ORAL SURGERY (NPI 1699041285) is a healthcare organization registered as an oral and maxillofacial surgery in Oviedo, Florida and active in the NPI registry since March 2012. The organization lists Tammy Eagle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699041285
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameTREVISANI ORAL SURGERY
Location Address1410 W BROADWAY ST, SUITE 204Oviedo, FL 32765-6456
Mailing Address1410 W Broadway St, Suite 204Oviedo, FL 32765-6456 · (407) 366-2243 · Fax (407) 359-3343
Fax(407) 359-3343
Organization SubpartNo
Authorized OfficialTammy EagleAdministrator · (407) 886-2050
Enumeration DateMarch 28, 2012
NPI 1699041285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License Licensed in FL · DN13576
Definition

An oral and maxillofacial surgery clinic or center 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.

1410 W BROADWAY ST, Oviedo, FL 32765

Other Providers at the Same Location NPPES 6

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

Clinic/Center
1410 W BROADWAY ST, SUITE 108
OVIEDO, FL 32765
Nurse Practitioner (Pediatrics)
1410 W BROADWAY ST, SUITE 104
OVIEDO, FL 32765
Obstetrics & Gynecology
1410 W BROADWAY ST
OVIEDO, FL 32765
Chiropractor (Neurology)
1410 W BROADWAY ST, SUITE 101
OVIEDO, FL 32765
Pediatrics
1410 W BROADWAY ST, #104
OVIEDO, FL 32765
Family Medicine
1410 W BROADWAY ST, SUITE 108
OVIEDO, FL 32765

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 Trevisani Oral Surgery's NPI number?

The NPI number for Trevisani Oral Surgery is 1699041285. It was assigned to this organization in the NPPES registry on March 28, 2012.

Where is Trevisani Oral Surgery located?

Trevisani Oral Surgery is located at 1410 W Broadway St Suite 204, Oviedo, FL 32765. The listed phone number is (407) 366-2243.

What is Trevisani Oral Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Trevisani Oral Surgery was last updated on March 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.