# BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC

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

## Provider details

- **NPI number:** 1720380207
- **Authorized official:** DR. RALPH MARK EICHSTAEDT D.D.S. (PRESIDENT/ORAL SURGEON)
- **Authorized official phone:** (727) 581-3300

## Contact information

- **Practice address:** 100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
- **Practice address phone:** (727) 581-3300
- **Practice address fax:** (727) 581-3302
- **Mailing address:** 100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
- **Mailing address phone:** (727) 581-3300
- **Mailing address fax:** (727) 581-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN15139 | FL | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 03/31/2014