St Augustine Oral & Facial Surgical Center PA
St Augustine Oral & Facial Surgical Center PA is an Oral and Maxillofacial Surgery (Dentist) in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1301 Plantation Island Dr S Ste 101St Augustine, FL 32080-3108
Phone: (904) 460-0505
Fax: (904) 460-0506
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 · Licence DN15568 (FL) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence DN15568 (FL) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | Taxonomy 2082S0099X · Licence DN15568 (FL) |
Record details
| NPI number | 1629288824 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Johnson — Owner · (904) 460-0505 |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | June 23, 2008 |
| Mailing address | Po Box 7870, Springdale, AR 72766-7870 |
Other providers in St Augustine
-
Dr. Bradley Alan Cherry, DDS, MD
109 Nature Walk Pkwy Ste 106, St Augustine, FL 32092 · (904) 230-6399
-
Dr. Roger Lee Myers, DMD
180 Capulet Dr Ste 3, St Augustine, FL 32092-4541 · (904) 299-2942