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Tampa Bay Maxillofacial Surgery, Pllc
Oral and Maxillofacial Surgery Clinic/Center in St Petersburg, Florida
NPI 1164932356

Tampa Bay Maxillofacial Surgery, Pllc is a Oral and Maxillofacial Surgery Clinic/Center based in Sarasota, FL and is specialized in Oral and Maxillofacial Surgery. Tampa Bay Maxillofacial Surgery, Pllc practices in St Petersburg, FL. The NPI Number for Tampa Bay Maxillofacial Surgery, Pllc is 1164932356 and holds a License No. (Florida).

The current practice location address for Tampa Bay Maxillofacial Surgery, Pllc is 2140 16Th St N, St Petersburg, FL and can be reached out via phone at 727-894-1442.

Location: 2140 16Th St N, St Petersburg, FL, 34238-4531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164932356
Provider Name
Tampa Bay Maxillofacial Surgery, Pllc
Credential
Provider Entity Type
Organization
Address
2140 16Th St N, St Petersburg, FL, 34238-4531
Phone Number
727-894-1442
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2140 16Th St N
City
St Petersburg
State
Florida
Zip
33704-3924
Phone Number
727-894-1442
Fax Number
person
Provider Business Mailing Address Details
Address
2140 16Th St N
City
St Petersburg
State
Florida
Zip
33704-3924
Phone Number
727-894-1442
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
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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Robert Chuong
NPI 1558369678
Oral and Maxillofacial Surgery Clinic/Center
2140 16Th St N,
ST PETERSBURG, FL
33704-3924
727-894-1442
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