IndividualActive
Jason Portnof, DMD, MD
NPI 1760613426 · Oral & Maxillofacial Surgery (D.M.D.) · Boca Raton, FL
Provider details
- NPI number
- 1760613426
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN16048 (FL)
Practice location
9980 Central Park Blvd N Ste 113
Boca Raton, FL 33428-1703
Phone: (561) 717-3660
Fax: (561) 717-3650
Mailing address
9980 Central Park Bvld N
Boca Raton, FL 33428
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.