OrganizationActive
Beachside Oral Surgery and Implants LLC
NPI 1164801825 · Oral and Maxillofacial Surgery (Dentist) · Indian Harbour Beach, FL
Provider details
- NPI number
- 1164801825
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jayanthi Chopra, Employee(321) 473-8247
- License
- 18935 (FL)
Specialties & taxonomies
Dental Providers
Practice location
205 E Eau Gallie Blvd
257
Indian Harbour Beach, FL 32937-4873
Phone: (321) 473-8247
Approximate (ZIP-level) locationGet directions
Mailing address
205 E Eaugalle Blvd
Indian Harboure Beach, FL 32937
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.