Organization · Type 2 NPI

Advanced Maxillofacial Surgical LLC

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1821404914 Active

Practice location

3625 University Blvd S
Jacksonville, FL 32216-4207

Mailing address

4257 Point La Vista Rd W
Jacksonville, FL 32207-6247

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN18554 (FL)

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.

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About NPI 1821404914

Advanced Maxillofacial Surgical LLC's National Provider Identifier is 1821404914, issued on Jul 9, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 7, 2025.