Organization · Type 2 NPI
Oral and Maxillofacial Surgery of Jacksonville, PLLC
Oral and Maxillofacial Surgery (Dentist) · St. Johns, FL
Practice location
95 Jaidev Road, Bldg 10, SUITE101
St. Johns, FL 32259-1140
Fax (904) 820-8957
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.
Other oral and maxillofacial surgery (dentist) providers in St. Johns
About NPI 1356253199
Oral and Maxillofacial Surgery of Jacksonville, PLLC's National Provider Identifier is 1356253199, issued on Sep 17, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Johns, FL. The record was last updated on Sep 17, 2026.