# BAY AREA JAW AND FACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1174078810
- **Authorized official:** DR. MICHAEL BRIAN BARBICK DMD, MD (OWNER/ORAL SURGEON)
- **Authorized official phone:** (352) 258-6218

## Contact information

- **Practice address:** 1993 COUNTY ROAD 1, DUNEDIN, FL 34698-2833
- **Practice address phone:** (727) 400-3414
- **Practice address fax:** (727) 738-0472
- **Mailing address:** 14005 N DALE MABRY HWY, TAMPA, FL 33618-2401
- **Mailing address phone:** (813) 264-2286
- **Mailing address fax:** (813) 264-2091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN18016 | FL | Yes |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 08/23/2016