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

Citrus Oral and Maxillofacial Surgery PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1447528906

Citrus Oral and Maxillofacial Surgery PA is an Oral and Maxillofacial Surgery (Dentist) in Crystal River, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

6129 W Corporate Oaks Dr
Crystal River, FL 34429-8732
Phone: (352) 795-4994
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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 · Licence 8810 (FL)

Record details

NPI number1447528906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Brockett — Owner/President · (352) 795-4994
NPI enumeratedDecember 12, 2011
Last updated in NPPESDecember 12, 2011
Mailing address6129 W Corporate Oaks Dr, Crystal River, FL 34429-8732

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