Organization · Type 2 NPI
St. Johns Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · St. Johns, FL
Practice location
2050 Saint Johns Pkwy Ste 101
St. Johns, FL 32259-4593
Fax (904) 299-2942
Mailing address
19 Saint Johns Medical Park Dr
St. Augustine, FL 32086-4342
Other practice locations
- 19 Saint Johns Medical Park Dr, St. Augustine, FL 32086-4342 · (904) 267-1295
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 1710707328
St. Johns Oral Surgery's National Provider Identifier is 1710707328, issued on Oct 16, 2024. 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 Oct 16, 2024.