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 1659527042

Nova Southeastern University, Inc is an Oral and Maxillofacial Surgery (Dentist) in Ft Lauderdale, Florida. Registered with an NPI since 2008.

In the registry since
2008
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

1600 S Andrews Ave West Wing 3rd Fl
Ft Lauderdale, FL 33316-2510
Phone: (954) 355-5703
Fax: (954) 355-5490
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 number1659527042
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNova Southeastern University, Inc
Authorized official Rosemery Estevez — Dir Contracting And Credentialing · (954) 262-4343
NPI enumeratedAugust 18, 2008
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address3200 S University Drive, Sanford L. Ziff Bldg. 3rd Floor, Room 4364-D, Ft. Lauderdale, FL 33328-2018

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