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Coastal Jaw Surgery Of New Port Richey, P.a.
Oral and Maxillofacial Surgery (Dentist) in Clearwater, Florida
NPI 1710131826

Coastal Jaw Surgery Of New Port Richey, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in New Port Richey, FL and is specialized in Oral and Maxillofacial Surgery. Coastal Jaw Surgery Of New Port Richey, P.a. practices in Clearwater, FL. The NPI Number for Coastal Jaw Surgery Of New Port Richey, P.a. is 1710131826 and holds a License No. DN10802 (Florida).

The current practice location address for Coastal Jaw Surgery Of New Port Richey, P.a. is 2720 Park Dr, Clearwater, FL and can be reached out via phone at 727-726-8500 and via fax at 727-725-9716. You can also correspond with Coastal Jaw Surgery Of New Port Richey, P.a. through the mailing address at 6731 MADISON ST, NEW PORT RICHEY, FL - 34652-1928 (mailing address contact number: 727-842-5180).

Location: 2720 Park Dr, Clearwater, FL, 34652-1928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710131826
Provider Name
Coastal Jaw Surgery Of New Port Richey, P.a.
Credential
Provider Entity Type
Organization
Address
2720 Park Dr, Clearwater, FL, 34652-1928
Phone Number
727-726-8500
Fax Number
727-725-9716
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
072932900 05 FL
institution
Provider Business Practice Location Address Details
Address
2720 Park Dr
City
Clearwater
State
Florida
Zip
33763-1020
Phone Number
727-726-8500
Fax Number
727-725-9716
person
Provider Business Mailing Address Details
Address
2720 Park Dr
City
Clearwater
State
Florida
Zip
33763-1020
Phone Number
727-726-8500
Fax Number
727-725-9716
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN10802 (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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