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Functional Facial Orthopedics
Oral and Maxillofacial Surgery (Dentist) in Wellington, Florida
NPI 1407207194

Functional Facial Orthopedics is a Oral and Maxillofacial Surgery (Dentist) based in Wellington, FL and is specialized in Oral and Maxillofacial Surgery. Functional Facial Orthopedics practices in Wellington, FL. The NPI Number for Functional Facial Orthopedics is 1407207194 and holds a License No. (Florida).

The current practice location address for Functional Facial Orthopedics is 13421 S Shore Blvd, Wellington, FL and can be reached out via phone at 561-215-1603 and via fax at 561-537-5738.

Location: 13421 S Shore Blvd, Wellington, FL, 33414-7210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407207194
Provider Name
Functional Facial Orthopedics
Credential
Provider Entity Type
Organization
Address
13421 S Shore Blvd, Wellington, FL, 33414-7210
Phone Number
561-215-1603
Fax Number
561-537-5738
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D17401 01 FL MEDICAL LICENSE NUMBER
075862100 05 FL
institution
Provider Business Practice Location Address Details
Address
13421 S Shore Blvd
City
Wellington
State
Florida
Zip
33414-7210
Phone Number
561-215-1603
Fax Number
561-537-5738
person
Provider Business Mailing Address Details
Address
13421 S Shore Blvd
City
Wellington
State
Florida
Zip
33414-7210
Phone Number
561-215-1603
Fax Number
561-537-5738
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.
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