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

Land O Lakes Oral Maxillofacial & Implant Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1235471590

Land O Lakes Oral Maxillofacial & Implant Surgery is an Oral and Maxillofacial Surgery (Dentist) in Land O Lakes, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

5420 Land O Lakes Blvd Ste #103
Land O Lakes, FL 34639-3401
Phone: (813) 528-8999
Fax: (813) 528-8997
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 · Licence DN16709 (FL)

Record details

NPI number1235471590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Edwards — President · (813) 528-8999
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013
Mailing address5420 Land O Lakes Blvd, Suite #103, Land O Lakes, FL 34639-3401

Other providers in Land O Lakes