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

Suncoast Oral Surgery & Periodontics

Organization Periodontics · NPI 1700307220

Suncoast Oral Surgery & Periodontics is a Periodontics in Venice, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

200 Tamiami Trl N
Venice, FL 34285-1914
Phone: (941) 484-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Tamiami Trl N, Venice, FL 34285-1914 — (941) 484-4001

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Periodontics Taxonomy 1223P0300X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1700307220
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedallion Periodontics
Authorized official Mary Clements — Practice Manager · (863) 832-0028
NPI enumeratedJuly 6, 2017
Last updated in NPPESJuly 21, 2022
Mailing address200 Tamiami Trl N, Venice, FL 34285-1914

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