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

Jason E. Portnof DMD, MD, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1699190280

Jason E. Portnof DMD, MD, PA is an Oral and Maxillofacial Surgery (Dentist) in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

100 SE 15th Ave
Ft Lauderdale, FL 33301-3985
Phone: (954) 983-1899
Fax: (954) 986-6846
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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 DN16048 (FL)

Record details

NPI number1699190280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Portnof — Owner · (954) 983-1899
Other names Las Olas Centre For Oral & Maxillofacial Surgery
NPI enumeratedFebruary 19, 2014
Last updated in NPPESJanuary 25, 2017
Mailing address100 Se 15th Ave, Ft Lauderdale, FL 33301-3985

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