Organization · Type 2 NPI

Jacksonville Oral Surgery PLLC

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1871123984 Active

Practice location

2047 Park St
Jacksonville, FL 32204-3809

Other practice locations

  • 1409 Kingsley Ave Ste 5, Orange Park, FL 32073-4561 · (904) 264-7383
  • 4232 Baymeadows Rd, Jacksonville, FL 32217-4604 · (904) 739-0690

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

3 other providers at this address

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About NPI 1871123984

Jacksonville Oral Surgery PLLC's National Provider Identifier is 1871123984, issued on Jan 17, 2020. 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 Jul 21, 2026.