Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730145061 Individual Practitioner Male Practitioner

Dr. Eustorgio A. Lopez , MD, DDS

Oral & Maxillofacial Surgery • Davie, FL

Professional Overview & Biography Verified Profile Summary

Dr. Eustorgio Lopez, MD, DDS is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Davie, FL. Practice services are available at 3200 S UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 S University Dr

Davie, FL 333282018

Telephone 9542627153
Fax 9542621793
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Davie, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Davie, FL (79 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-09
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License FL ME74506

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License FL DN 13112

The specialty of dentistry which includes 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
015641700 (FL)
Medicaid State Provider ID
2686961-00 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Frank Yeh , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1104172972

Doctor of Dental Medicine

Dr. Kevin Payton , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1174587315

Doctor of Dental Surgery

Dr. Shawn Mcclure , DDS, MD

Oral & Maxillofacial Surgery

NPI 1649313925

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated July 09, 2023

Recorded as EUSTORGIO LOPEZ, M.D., D.D.S.

📍
Updated Practice Location September 20, 2022

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542627153)

📍
Updated Business Mailing Address September 20, 2022

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542627153)

NPI Profile Active August 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2015

Registered at 1611 NW 12TH AVE, NORTH WING SUITE 101, MIAMI, FL 331361005 (Tel: 3055853483)

📍
Updated Business Mailing Address August 13, 2015

Registered at 1611 NW 12TH AVE, NORTH WING SUITE 101, MIAMI, FL 331361005 (Tel: 3055853483)

👤
Provider Name / Credentials Updated August 13, 2015

Recorded as EUSTORGIO LOPEZ, M.D., DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2015

Dentist (License #DN 13112 in FL)

🟢
Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730145061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: July 09, 2023
Sole Proprietor: No

Mailing Address

3200 S University Dr

Davie, FL 333282018

Phone: 9542627153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.