# CASEY ORAL & FACIAL SURGICAL ARTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013174937
- **Authorized official:** DR. GREGORY M CASEY DDS, PA (OWNER)
- **Authorized official phone:** (239) 947-6637

## Contact information

- **Practice address:** 3388 WOODS EDGE CIR, UNIT 103, BONITA SPRINGS, FL 34134-1368
- **Practice address phone:** (239) 947-6637
- **Practice address fax:** (239) 947-3223
- **Mailing address:** 3388 WOODS EDGE CIR, UNIT 103, BONITA SPRINGS, FL 34134-1368
- **Mailing address phone:** (239) 947-6637
- **Mailing address fax:** (239) 947-3223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | FL | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 07/21/2022