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

Beaches Oral Maxillofacial Surgery, PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1265292346

Beaches Oral Maxillofacial Surgery, PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Jacksonville Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

472 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Phone: (904) 246-6545
Fax: (904) 246-3718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1265292346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Landis — Owner · (904) 246-6545
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address472 Jacksonville Dr, Jacksonville Beach, FL 32250-3812