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

St Johns Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1710707328

St Johns Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in St Johns, Florida. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2050 Saint Johns Pkwy Ste 101
St Johns, FL 32259-4593
Phone: (904) 267-1295
Fax: (904) 299-2942
Show map & directions

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

Additional practice locations (1)

  • 19 Saint Johns Medical Park Dr, St Augustine, FL 32086-4342 — (904) 267-1295

Specialties & licences

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

Record details

NPI number1710707328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Myers — Owner · (904) 200-4375
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address19 Saint Johns Medical Park Dr, St Augustine, FL 32086-4342