Las Olas Centre For Oral & Maxillofacial Surgery is a Oral and Maxillofacial Dental Clinic in Ft Lauderdale, Florida. It is located at 100 Se 15th Ave, Ft Lauderdale, FL and its contact number is 954-983-1899. The authorized person for Las Olas Centre For Oral & Maxillofacial Surgery is Dr. Jason E Portnof
who is Owner of the clinic and their contact number is 954-983-1899. The primary license number for Las Olas Centre For Oral & Maxillofacial Surgery is DN16048 (Oral and Maxillofacial Surgery) in Florida. Las Olas Centre For Oral & Maxillofacial Surgery Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Las Olas Centre For Oral & Maxillofacial Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Las Olas Centre For Oral & Maxillofacial Surgery
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
100 Se 15th Ave, Ft Lauderdale, Florida, 33301-3985
Phone:
954-983-1899
Fax:
954-986-6846
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jason E Portnof
Position:
Owner
Contact Number:
954-983-1899
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Las Olas Centre For Oral & Maxillofacial Surgery clinic are as mentioned below.
NPI Number:
1699190280
NPI Enumeration Date:
19 Feb, 2014
NPI Last Update On:
25 Jan, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Las Olas Centre For Oral & Maxillofacial Surgery are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
DN16048
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
HA085Z
Other
Florida
Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Las Olas Centre For Oral & Maxillofacial Surgery 100 Se 15th Ave, Ft Lauderdale, Florida
Zip:
33301-3985
Phone Number:
954-983-1899
Fax Number:
954-318-3215
Patients can reach Las Olas Centre For Oral & Maxillofacial Surgery at 100 Se 15th Ave, Ft Lauderdale, Florida or can call to book an appointment on 954-983-1899. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.