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

Jaxoms, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1316821044

Jaxoms, PA is an Oral and Maxillofacial Surgery (Dentist) in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14453 Beach Blvd Ste 101
Jacksonville, FL 32250-2081
Phone: (904) 821-1334
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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

Record details

NPI number1316821044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zane Khan — Dpst · (904) 483-1919
NPI enumeratedAugust 5, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address14453 Beach Blvd Ste 101, Jacksonville, FL 32250-2081

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