First Coast Oral & Facial Surgery, PA
First Coast Oral & Facial Surgery, PA is an Oral & Maxillofacial Surgery (D.M.D.) in St Augustine, Florida. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
319 W Town Pl Ste 2St Augustine, FL 32092
Phone: (904) 529-8889
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1356601249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Stakem — President · (904) 529-8889 |
| NPI enumerated | May 24, 2012 |
| Last updated in NPPES | May 24, 2012 |
| Mailing address | 319 West Town Place #2, St. Augustine, FL 32092 |