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

Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417618463

Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc is an Oral and Maxillofacial Surgery (Dentist) in Port St Lucie, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

1265 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5376
Phone: (772) 337-4798
Fax: (772) 337-2004
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

Record details

NPI number1417618463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Kauffman — Office Manager · (772) 337-4798
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address1265 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5376

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