Organization
INSTITUTE FOR THE TREATMENT OF CRANIOFACIAL PAIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D. FUSELIER DDS (OWNER)
(407) 963-0553
Entity
Organization
Contact information
Practice address
2122 E ROBINSON ST, ORLANDO, FL 32803-6047
(407) 963-0553
(407) 637-5183
Mailing address
1203 PRESERVE POINT DR, WINTER PARK, FL 32789-5939
(407) 963-0553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265405518
OMS
FL
01
—
1700859063
OMS
FL
Enumeration date
02/07/2019
Last updated
07/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us