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

Nova Southeastern University, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1093442824

Nova Southeastern University, Inc is an Oral and Maxillofacial Surgery (Dentist) in Ft Lauderdale, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1625 SE 3rd Ave Ste 802
Ft Lauderdale, FL 33316-2521
Phone: (954) 262-7500
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
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1093442824
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNova Souhteastern University, Inc
Authorized official Rosemery Estevez — Director Of Contracting · (954) 262-4343
NPI enumeratedAugust 2, 2022
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing addressPo Box 290370, Davie, FL 33329-0370

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