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

Jaxoms, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1992634612

Jaxoms, PA is an Oral and Maxillofacial Surgery (Dentist) in Cooper City, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

9900 Stirling Rd Ste 300
Cooper City, FL 33024-8066
Phone: (402) 805-4516
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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 number1992634612
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJaxoms, PA
Authorized official Jenn Heritage — Credentialing Manager · (402) 805-4516
Other names Coastal Dental Implants & Oral Surgery
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address9900 Stirling Rd Ste 300, Cooper City, FL 33024-8066

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