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Organization

Advanced Dentistry South Florida Sepcialists LLC

NPI Record: ActiveDentist — Oral and Maxillofacial Surgery
NPI1003285339
Delray Beach, Florida

Provider's NPPES record last updated: September 16, 2015

Overview

Entity Type
Organization
NPI
1003285339
Primary Specialty
Dentist — Oral and Maxillofacial Surgery
Practice Location
Delray Beach, Florida
Organization Subpart
Yes
Parent Organization
Richard J Staller DDS PA

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:56 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    Primary

    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.

    Taxonomy code 1223S0112X
  • Dentist

    Endodontics

    Dental Providers

    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

    Taxonomy code 1223E0200X
  • Dentist

    Periodontics

    Dental Providers

    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

    Taxonomy code 1223P0300X

Practice Locations

Practice Location

15340 Jog Rd Ste 100

Delray Beach, Florida 33446-2170

Phone: (561) 495-2099

Record Information

Enumeration Date
September 16, 2015
Provider's NPPES Record Last Updated
September 16, 2015
NPISignal NPPES Dataset
August 2026

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