Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Maxillofacial Surgical LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1821404914

Advanced Maxillofacial Surgical LLC is an Oral and Maxillofacial Surgery (Dentist) in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN18554 (FL)

Record details

NPI number1821404914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Lee — Owner · (904) 444-1578
NPI enumeratedJuly 9, 2014
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address4257 Point La Vista Rd W, Jacksonville, FL 32207-6247

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