LAS OLAS CENTRE FOR ORAL & MAXILLOFACIAL SURGERY
NPI 1699190280
Dentist - Oral and Maxillofacial Surgery in Ft Lauderdale, FL

Active since February 19, 2014
100 SE 15TH AVE, FT LAUDERDALE, FL 33301(954) 983-1899(954) 986-6846 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Las Olas Centre For Oral & Maxillofacial Surgery NPPES

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

LAS OLAS CENTRE FOR ORAL & MAXILLOFACIAL SURGERY (NPI 1699190280) is a healthcare organization registered as an oral and maxillofacial surgery in Ft Lauderdale, Florida and active in the NPI registry since February 2014. The organization lists Jason E Portnof, Owner, as its authorized official.

NPPES Registry Identity

NPI1699190280
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJASON E. PORTNOF DMD, MD, PA
Location Address100 SE 15TH AVEFt Lauderdale, FL 33301-3985
Mailing Address100 Se 15th AveFt Lauderdale, FL 33301-3985 · (954) 983-1899 · Fax (954) 318-3215
Fax(954) 986-6846
Organization SubpartNo
Authorized OfficialJason E PortnofOwner · (954) 983-1899
Enumeration DateFebruary 19, 2014
Last NPPES UpdateJanuary 25, 2017
NPI 1699190280 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 · DN16048
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.

100 SE 15TH AVE, Ft Lauderdale, FL 33301

Other Names 1

Doing Business AsLas Olas Centre For Oral & Maxillofacial Surgery

Other Identifiers 1

OtherHA085ZFL · Medicare Ptan

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

Other Providers at the Same Location NPPES 10

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

Plastic Surgery
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Durable Medical Equipment & Medical Supplies (Customized Equipment)
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Physician Assistant
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Occupational Therapist (Pediatrics)
100 SE 15TH AVE
FT LAUDERDALE, FL 33301
Plastic Surgery
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Orthotist
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Plastic Surgery
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301
Physician Assistant
100 SE 15TH AVE
FORT LAUDERDALE, FL 33301

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 Jason E. Portnof Dmd, MD, PA's NPI number?

The NPI number for Jason E. Portnof Dmd, MD, PA is 1699190280. It was assigned to this organization in the NPPES registry on February 19, 2014. The provider is doing business as Las Olas Centre For Oral & Maxillofacial Surgery.

Where is Jason E. Portnof Dmd, MD, PA located?

Jason E. Portnof Dmd, MD, PA is located at 100 SE 15th Ave, Ft Lauderdale, FL 33301. The listed phone number is (954) 983-1899.

What is Jason E. Portnof Dmd, MD, 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 Jason E. Portnof Dmd, MD, PA was last updated on January 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.