Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1306835749
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
The Ravenous Pig, 565 W, Fairbanks Avenue, Winter Park, Orange County, Florida, 32789, United States
SUITE 300
WINTER PARK, FL 327894679
Phone: (407) 644-0224
Fax: (407) 644-2827
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32789)
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