# SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS PA

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

## Provider details

- **NPI number:** 1376890673
- **Authorized official:** DR. JEFFREY F. ELLIOT DMD (PRESIDENT)
- **Authorized official phone:** (954) 340-6550

## Contact information

- **Practice address:** 9600 W SAMPLE RD, SUITE 504, CORAL SPRINGS, FL 33065-4045
- **Practice address phone:** (954) 340-6550
- **Practice address fax:** (954) 340-8488
- **Mailing address:** 9600 W SAMPLE RD, SUITE 504, CORAL SPRINGS, FL 33065-4045
- **Mailing address phone:** (954) 340-6550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN 11443 | FL | Yes |

## Other

- **Enumeration date:** 08/06/2012
- **Last updated:** 02/11/2013