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Cardinal Oral & Maxillofacial Surgery Associates
Oral and Maxillofacial Surgery (Dentist) in Port Orange, Florida
NPI 1114462496

Cardinal Oral & Maxillofacial Surgery Associates is a Oral and Maxillofacial Surgery (Dentist) based in Port Orange, FL and is specialized in Oral and Maxillofacial Surgery. Cardinal Oral & Maxillofacial Surgery Associates practices in Port Orange, FL. The NPI Number for Cardinal Oral & Maxillofacial Surgery Associates is 1114462496 and holds a License No. DN15831 (Florida).

The current practice location address for Cardinal Oral & Maxillofacial Surgery Associates is 870 Dunlawton Ave, Port Orange, FL and can be reached out via phone at 386-756-2580 and via fax at 386-756-2333.

Location: 870 Dunlawton Ave, Port Orange, FL, 32127-9274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114462496
Provider Name
Cardinal Oral & Maxillofacial Surgery Associates
Credential
Provider Entity Type
Organization
Address
870 Dunlawton Ave, Port Orange, FL, 32127-9274
Phone Number
386-756-2580
Fax Number
386-756-2333
Provider Enumeration Date
12/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67275 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
870 Dunlawton Ave
City
Port Orange
State
Florida
Zip
32127-9274
Phone Number
386-756-2580
Fax Number
386-756-2333
person
Provider Business Mailing Address Details
Address
870 Dunlawton Ave
City
Port Orange
State
Florida
Zip
32127-9274
Phone Number
386-756-2580
Fax Number
386-756-2333
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN15831 (Florida)
Definition
The specialty of dentistry which includes 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.
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