Organization · Type 2 NPI
Gateway Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · St. Augustine, FL
NPI number
1073336483
Active
Practice location
180 Capulet Dr Ste 3
St. Augustine, FL 32092-4541
Fax (904) 299-2943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1073336483
Gateway Oral Surgery's National Provider Identifier is 1073336483, issued on Nov 4, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 12, 2025.