OrganizationActive
Land O Lakes Oral Maxillofacial & Implant Surgery
NPI 1235471590 · Oral and Maxillofacial Surgery (Dentist) · Land O Lakes, FL
Provider details
- NPI number
- 1235471590
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jason Edwards, President(813) 528-8999
- License
- DN16709 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5420 Land O Lakes Blvd
Suite #103
Land O Lakes, FL 34639-3401
Phone: (813) 528-8999
Fax: (813) 528-8997
Approximate (ZIP-level) locationGet directions
Mailing address
5420 Land O Lakes Blvd
Land O Lakes, FL 34639-3401
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2013-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.