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

Tampa Bay Maxillofacial Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1164932356

Tampa Bay Maxillofacial Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in St Petersburg, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2140 16th St N
St Petersburg, FL 33704-3924
Phone: (727) 894-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8804 Hawbuck St, Trinity, FL 34655-5360 — (727) 894-1442

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Dental Clinic/Center Taxonomy 261QD0000X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1164932356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Yu — Managing Member · (727) 894-1442
NPI enumeratedOctober 3, 2017
Last updated in NPPESJune 21, 2019
Mailing address4021 Las Palmas Way, Sarasota, FL 34238-4531

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