# PREMIER ORAL & FACIAL SURGERY

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

## Provider details

- **NPI number:** 1750933545
- **Authorized official:** DR. ANDONIS TEREZIDES DDS (MANAGER)
- **Authorized official phone:** (407) 621-1900

## Contact information

- **Practice address:** 13571 NARCOOSSEE ROAD, ORLANDO, FL 32832-6952
- **Practice address phone:** (407) 553-2894
- **Mailing address:** 13571 NARCOOSSEE ROAD, ORLANDO, FL 32832
- **Mailing address phone:** (407) 553-2894

## 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:** 07/11/2019
- **Last updated:** 12/05/2021