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

Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1447673173

Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC is an Oral & Maxillofacial Surgery (D.M.D.) in South Miami, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6705 SW 57th Ave Ste 510
South Miami, FL 33143-3644
Phone: (786) 471-4299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence ME114524 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ME114524 (FL)

Record details

NPI number1447673173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stone Thayer — President · (786) 471-4299
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 24, 2015
Mailing address1949 Isla De Palma Cir, Naples, FL 34119-3403