# SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1851473870
- **Authorized official:** THERESA STRAUSS (FINANCIAL COORDINATOR)
- **Authorized official phone:** (406) 756-2415

## Contact information

- **Practice address:** 1025 MILITARY TRL, \#110, JUPITER, FL 33458-7040
- **Practice address phone:** (561) 743-8311
- **Practice address fax:** (561) 744-6201
- **Mailing address:** 1025 MILITARY TRL, \#110, JUPITER, FL 33458-7040
- **Mailing address phone:** (561) 743-8311
- **Mailing address fax:** (561) 744-6201

## 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:** 10/19/2006
- **Last updated:** 01/29/2008