Healthcare Provider Details
I. General information
NPI: 1316877194
Provider Name (Legal Business Name): DELRAY ORAL SURGERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 SE 6TH AVE STE C
DELRAY BEACH FL
33483-5263
US
IV. Provider business mailing address
1411 N FLAGLER DR STE 5200
WEST PALM BEACH FL
33401-3410
US
V. Phone/Fax
- Phone: 513-833-3103
- Fax:
- Phone: 513-833-3103
- Fax: 513-833-3103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223S0112X |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHAD
MATTHEW
CURTIS
Title or Position: SURGEON
Credential: CURTIS
Phone: 513-833-3103