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

Trevisani Oral Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1053687640

Trevisani Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

2574 S Volusia Ave
Orange City, FL 32763-9123
Phone: (386) 774-2999
Fax: (386) 774-4922
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence DN13576 (FL)

Record details

NPI number1053687640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Eagle — Administrator · (407) 886-2050
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012
Mailing address2574 S Volusia Ave, Orange City, FL 32763-9123

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