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

Functional Facial Orthopedics

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1407207194

Functional Facial Orthopedics is an Oral and Maxillofacial Surgery (Dentist) in Wellington, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

13421 S Shore Blvd Ste 203
Wellington, FL 33414-7210
Phone: (561) 215-1603
Fax: (561) 537-5738
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

Record details

NPI number1407207194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nilsa Toledo — President/Owner · (561) 215-1603
NPI enumeratedJune 24, 2016
Last updated in NPPESJune 24, 2016
Mailing address13421 S Shore Blvd, Suite 203, Wellington, FL 33414-7210

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