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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICARDO M ORTIZ, DMD

Active

RICARDO M ORTIZ, DMD is a Oral & Maxillofacial Surgery healthcare provider located in TALLAHASSEE, Florida. NPI 1497984785 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · TALLAHASSEE, FL

Registration Details

NPI Number
1497984785
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2009 (17.062781872474 yrs)
Last Updated
Jun 4, 2021
Licenses
D-10615 (MA)
DN23064 (FL)

Practice Information

Address
3665 COOLIDGE CT STE 102
TALLAHASSEE, FL, 323117894
Browse FL providers · Browse ZIP 32311
Phone
8504316725
Fax
8504316859
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in TALLAHASSEE, FL

Name Credential NPI
BARRETT ROSS TOLLEY DDS 1356362149
DR. STEVEN CLARK BRYAN D.M.D. 1508906934
DR. LAWRENCE JOSEPH PIJUT DMD 1235382813
RUSSELL WALTHER DDS, MD 1073837746
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.