OrganizationActive
Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC
NPI 1447673173 · Oral & Maxillofacial Surgery (D.M.D.) · South Miami, FL
Provider details
- NPI number
- 1447673173
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Stone Thayer, President
- License
- ME114524 (FL)
Practice location
6705 Sw 57th Ave Ste 510
South Miami, FL 33143-3644
Phone: (786) 471-4299
Mailing address
1949 Isla De Palma Cir
Naples, FL 34119-3403
Registry dates
- Enumerated
- 2014-01-31
- Last updated
- 2015-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.