# HOLLYWOOD ORAL SURGERY, PLLC

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

## Provider details

- **NPI number:** 1497228001
- **Authorized official:** DR. JOEL A BERLEY DMD (OWNER)
- **Authorized official phone:** (954) 792-5544

## Contact information

- **Practice address:** 4420 SHERIDAN ST, HOLLYWOOD, FL 33021-3552
- **Practice address phone:** (954) 792-5544
- **Practice address fax:** (954) 587-6442
- **Mailing address:** 7500 NW 5TH ST STE 105, PLANTATION, FL 33317-1612
- **Mailing address phone:** (954) 792-5544
- **Mailing address fax:** (954) 792-5544

## 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:** 01/07/2019
- **Last updated:** 01/07/2019