OrganizationActive
Advanced Dentistry South Florida Sepcialists LLC
NPI 1003285339 · Oral and Maxillofacial Surgery (Dentist) · Delray Beach, FL
Provider details
- NPI number
- 1003285339
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Richard J Staller DDS PA
- Authorized official
- Kelli Carter Staller, Practice Administrator
Practice location
15340 Jog Rd Ste 100
Delray Beach, FL 33446-2170
Phone: (561) 495-2099
Mailing address
15340 Jog Rd Ste 100
Delray Beach, FL 33446-2170
Registry dates
- Enumerated
- 2015-09-16
- Last updated
- 2015-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.