# THE CENTER FOR JAW SURGERY

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

## Provider details

- **NPI number:** 1083082713
- **Authorized official:** DR. IRA E STONE (OWNER)
- **Authorized official phone:** (954) 981-4896

## Contact information

- **Practice address:** 4420 SHERIDAN ST STE B, HOLLYWOOD, FL 33021-3552
- **Practice address phone:** (954) 981-4896
- **Mailing address:** 4420 SHERIDAN ST STE B, HOLLYWOOD, FL 33021-3552
- **Mailing address phone:** (954) 981-4896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12214 | FL | Yes |

## Other

- **Enumeration date:** 09/11/2015
- **Last updated:** 04/04/2016