NPI 1760613426

Jason E. Portnof, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Boca Raton, FL

Practice location

Address: 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 Suite 113, Boca Raton, FL 33428

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence ME101326 (FL)

Other Oral & Maxillofacial Surgery providers in Florida →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN16048 (FL)

Registry record

NPI: 1760613426
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2009
Record last updated: 14 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.