OrganizationActive
Oral and Maxillofacial Surgery Associates
NPI 1568655702 · Oral and Maxillofacial Surgery (Dentist) · Shalimar, FL
Provider details
- NPI number
- 1568655702
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Charles Elwell, Owner(850) 651-6882
- License
- DN0012590 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
7 Clifford Dr
Shalimar, FL 32579-1250
Phone: (850) 651-6882
Fax: (850) 651-6692
Street-level locationGet directions
Mailing address
7 Clifford Dr
Shalimar, FL 32579-1250
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.