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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA

Active Organization

ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA is a Oral & Maxillofacial Surgery (Physician) organization located in ST AUGUSTINE, Florida. NPI 1629288824 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · ST AUGUSTINE, FL

Registration Details

NPI Number
1629288824
Provider Type
Organization
NPI Issued
May 23, 2007 (19.255878943315 yrs)
Last Updated
Jun 23, 2008
Licenses
DN15568 (FL)
DN15568 (FL)
DN15568 (FL)

Practice Information

Address
1301 PLANTATION ISLAND DR S
SUITE 101
ST AUGUSTINE, FL, 320803108
Browse FL providers · Browse ZIP 32080
Phone
9044600505
Fax
9044600506
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Organizations in ST AUGUSTINE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.