# BAY CENTER FOR ORAL & IMPLANT SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bay Center for Oral & Implant Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073784872
- **Authorized official:** JESSE JAKUBOWSKI DMD (OWNER)
- **Authorized official phone:** (727) 585-5494

## Contact information

- **Practice address:** 168 14TH ST SW, SUITE B, LARGO, FL 33770-6103
- **Practice address phone:** (727) 585-5494
- **Practice address fax:** (727) 584-1820
- **Mailing address:** 168 14TH ST SW, SUITE B, LARGO, FL 33770-6103
- **Mailing address phone:** (727) 585-5494
- **Mailing address fax:** (727) 584-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11822 | FL | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 07/29/2022