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FSP FL OFS PA
NPI 1821954330
Dentist - Oral and Maxillofacial Surgery in Ft Lauderdale, FL

Active since December 29, 2025
2600 E COMMERCIAL BLVD STE 200, FT LAUDERDALE, FL 33308(954) 566-0330 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fsp Fl Ofs Pa NPPES

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

FSP FL OFS PA (NPI 1821954330), doing business as Dental Implant And Facial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Ft Lauderdale, Florida and active in the NPI registry since December 2025. The organization lists Jennifer Hock, Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1821954330
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFSP FL OFS PA
Location Address2600 E COMMERCIAL BLVD STE 200Ft Lauderdale, FL 33308-4125
Mailing Address2600 E Commercial Blvd Ste 200Ft Lauderdale, FL 33308-4125 · (954) 566-0330
Phone(954) 566-0330
Organization SubpartNo
Authorized OfficialJennifer HockDirector Of Payor Relations · (704) 295-4653
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1821954330 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.
2600 E COMMERCIAL BLVD STE 200, Ft Lauderdale, FL 33308
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Other Names 1

Doing Business AsDental Implant And Facial Surgery

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 2

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

SHERIDAN HEALTHCORP INC
Anesthesiology
2600 E COMMERCIAL BLVD STE 200
FORT LAUDERDALE, FL 33308
Broward County (877) 328-1119
KIMIA TEHRANI PA-C
Physician Assistant
2600 E COMMERCIAL BLVD STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 566-0300

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 Fsp Fl Ofs PA's NPI number?

The NPI number for Fsp Fl Ofs PA is 1821954330. It was assigned to this organization in the NPPES registry on December 29, 2025. The provider is doing business as Dental Implant and Facial Surgery.

Where is Fsp Fl Ofs PA located?

Fsp Fl Ofs PA is located at 2600 E Commercial Blvd Ste 200, Ft Lauderdale, FL 33308. The listed phone number is (954) 566-0330.

What is Fsp Fl Ofs 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 Fsp Fl Ofs PA was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.