SUNCOAST ORAL SURGERY, LLC.
NPI 1740725753
Dentist - Oral and Maxillofacial Surgery in New Port Richey, FL

NPI Status: Active since December 29, 2016

Contact Information

4809 TROUBLE CREEK RD
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 560-5393

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 10D0987480
  • CLIA Cert. Type: Other - RESEARCH CENTER
  • CLIA Exp. Date: 04-03-2027

About SUNCOAST ORAL SURGERY, LLC.

This page provides the complete NPI Profile along with additional information for Suncoast Oral Surgery, Llc., a provider established in New Port Richey, Florida operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1740725753 assigned on December 2016. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Pamela Rowan (Secretary)

NPI
1740725753
Provider Name
SUNCOAST ORAL SURGERY, LLC.
Entity Type
Organization
Location Address
4809 TROUBLE CREEK RD NEW PORT RICHEY, FL 34652
Location Phone
(727) 560-5393
Mailing Address
4809 TROUBLE CREEK RD NEW PORT RICHEY, FL 34652
Mailing Phone
(727) 560-5393
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2016
Last Update Date
07-20-2017
Code Navigator

A dentist like Suncoast Oral Surgery, Llc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAMELA ROWAN

Authorized Official Title
SECRETARY
Authorized Official Phone
(727) 560-5393

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0987480
Facility Type
Other - RESEARCH CENTER
Certificate Effective Date
April 04, 2025
Certificate Expiration Date
April 03, 2027
Laboratory Director
CATHY BARNES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Suncoast Oral Surgery, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740725753
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278014210710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 4 + 2 + 1 + 0 + 7 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1740725753 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750587895 PALOMA SPARROWHAWK LMHC
Individual
Counselor (Mental Health)4809 TROUBLE CREEK RD
NEW PORT RICHEY, FL 34652
(813) 610-9815
1942288444DR. ARIEL T BREEN LPC, LMHC, NCC, CAP
Individual
Counselor (Mental Health)4809 TROUBLE CREEK RD
NEW PORT RICHEY, FL 34652
(727) 815-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740725753, enumerated in the NPI registry as an "organization" on December 29, 2016

The provider is located at 4809 Trouble Creek Rd New Port Richey, Fl 34652 and the phone number is (727) 560-5393

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider's CLIA number is 10D0987480 for a "other - research center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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