| North Florida Oral & Facial Surgery, P.a. | |
|
11481 Old Saint Augustine Rd Ste 203 Jacksonville FL 32258-1475 | |
| (904) 309-5651 | |
| (904) 737-8326 |
| Full Name | North Florida Oral & Facial Surgery, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 11481 Old Saint Augustine Rd Ste 203, Jacksonville, Florida |
| Authorized Official Name and Position | Rick Crici (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9047373617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Oral & Facial Surgery, P.a. 11481 Old St. Augustine Road Ste. 203 Jacksonville FL 32258-1475 Ph: (904) 309-5951 | North Florida Oral & Facial Surgery, P.a. 11481 Old Saint Augustine Rd Ste 203 Jacksonville FL 32258-1475 Ph: (904) 309-5651 |
| NPI Number | 1851417406 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 01/12/2018 |
| Medicare PECOS PAC ID | 7113066994 |
|---|---|
| Medicare Enrollment ID | O20091208000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851417406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Gregory J Groshan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184760480 PECOS PAC ID: 8729128194 Enrollment ID: I20091215000647 |
Donald L. Smitha, Dds, Mds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Alderman Rd, Jacksonville, FL 32211 Phone: 904-725-8282 Fax: 904-725-7197 | |
Selena L Marchan, Dmd, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 13475 Atlantic Blvd, Ste 36, Jacksonville, FL 32225 Phone: 904-246-2603 Fax: 904-247-9663 | |
Roger D. Robinson Jr., D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Cardinal Point Drive, Jacksonville, FL 32257 Phone: 904-737-2040 Fax: 904-737-2051 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 Fax: 315-410-5531 | |
Ben Lewis, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 N Lee St, Jacksonville, FL 32204 Phone: 904-366-3736 | |
Joseph G Chiafair Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9471 Baymeadows Rd, Suite 101, Jacksonville, FL 32256 Phone: 904-739-3939 Fax: 904-739-1381 | |
Timothy J Parker Dmd Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 8351 Bayberry Rd, Jacksonville, FL 32256 Phone: 904-737-3263 Fax: 904-448-5301 |