Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amp Oral and Maxillofacial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1144812348

Amp Oral and Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Orlando, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3861 Avalon Park East Blvd
Orlando, FL 32828-4853
Phone: (407) 544-0139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1144812348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Elmore — Owner/Authorized Official · (678) 480-9808
NPI enumeratedFebruary 9, 2021
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address10524 Moss Park Rd Ste 204-616, Orlando, FL 32832-5898

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