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

Gateway Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073336483

Gateway Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Saint Augustine, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

180 Capulet Dr Ste 3
Saint Augustine, FL 32092-4541
Phone: (904) 299-2942
Fax: (904) 299-2943
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1073336483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Myers — Owner · (904) 200-4375
Other names Gateway Oral Surgery; Gateway Oral Surgery
NPI enumeratedNovember 4, 2024
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address180 Capulet Dr Ste 3, Saint Augustine, FL 32092-4541