# ORAL SURGICAL INSTITUTE

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

## Provider details

- **NPI number:** 1184034720
- **Authorized official:** DR. JOHN HOWARD HARDEMAN DDS, MD (PRESIDENT)
- **Authorized official phone:** (407) 625-3646

## Contact information

- **Practice address:** 1291 WINTER GARDEN VINELAND RD, 150, WINTER GARDEN, FL 34787-6705
- **Practice address phone:** (407) 625-3646
- **Mailing address:** PO BOX 691747, ORLANDO, FL 32869-1747
- **Mailing address phone:** (407) 625-3646

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 07/23/2014