# L.N. ORAL AND MAXILLOFACIAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** L.N. Oral and maxillofacial Surgery PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023823705
- **Authorized official:** DR. FERNANDO J JIMENEZ DMD (PRESIDENT)
- **Authorized official phone:** (813) 834-8473

## Contact information

- **Practice address:** 11278 SULLIVAN ST, RIVERVIEW, FL 33578-2140
- **Practice address phone:** (813) 834-8473
- **Mailing address:** 11925 CLIMBING FERN AVE, RIVERVIEW, FL 33579-4092
- **Mailing address phone:** (813) 834-8473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | NULL | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 02/10/2025