OrganizationActive
Amp Oral and Maxillofacial Surgery, PA
NPI 1144812348 · Oral and Maxillofacial Surgery (Dentist) · Orlando, FL
Provider details
- NPI number
- 1144812348
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Elmore, Owner/Authorized Official(678) 480-9808
Specialties & taxonomies
Dental Providers
Practice location
3861 Avalon Park East Blvd
Orlando, FL 32828-4853
Phone: (407) 544-0139
Approximate (ZIP-level) locationGet directions
Mailing address
10524 Moss Park Rd Ste 204-616
Orlando, FL 32832-5898
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.