# SOUTHWEST FLORIDA ORAL & FACIAL SURGERY

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

## Provider details

- **NPI number:** 1649230210
- **Authorized official:** KATHY SIANO (BILLING INSURANCE CORRDINATOR)
- **Authorized official phone:** 23999383025

## Contact information

- **Practice address:** 8267 COLLEGE PARKWAY, FORT MYERS, FL 33919-5193
- **Practice address phone:** (239) 938-3025
- **Practice address fax:** (239) 936-1954
- **Mailing address:** 8267 COLLEGE PKWY, FORT MYERS, FL 33919-5193
- **Mailing address phone:** (239) 938-3025
- **Mailing address fax:** (239) 936-1954

## 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:** 03/27/2006
- **Last updated:** 09/16/2010