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

Dental Implant & Facial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1528712189

Dental Implant & Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Fort Lauderdale, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

2600 E Commercial Blvd Ste 200
Fort Lauderdale, FL 33308
Phone: (954) 566-0300
Fax: (954) 566-9066
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1528712189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michel Matouk — Owner · (954) 566-0300
NPI enumeratedFebruary 11, 2022
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022
Mailing address2600 East Commercial Blvd, Suite 200, Fort Lauderdale, FL 33308

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