| St Augustine Oral & Facial Surgical Center Pa | |
|
1301 Plantation Island Dr S Suite 101 St Augustine FL 32080-3108 | |
| (904) 460-0505 | |
| (904) 460-0506 |
| Full Name | St Augustine Oral & Facial Surgical Center Pa |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1301 Plantation Island Dr S, St Augustine, Florida |
| Authorized Official Name and Position | Douglas L Johnson (OWNER) |
| Authorized Official Contact | 9044600505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Augustine Oral & Facial Surgical Center Pa Po Box 7870 Springdale AR 72766-7870 Ph: (479) 464-5824 | St Augustine Oral & Facial Surgical Center Pa 1301 Plantation Island Dr S Suite 101 St Augustine FL 32080-3108 Ph: (904) 460-0505 |
| NPI Number | 1629288824 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629288824 | NPI | - | NPPES |
| DD5857 | Other | FL | RAILROAD MEDICARE GROUP |
Dr. Robert R. Thousand Iii P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Johns Medical Pk Dr, Suite C, St Augustine, FL 32086 Phone: 904-797-3044 Fax: 904-797-3045 | |
Comfortable Care Dental Health Professionals, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Fulkerson Way, St Augustine, FL 32086 Phone: 904-770-4580 Fax: 904-940-4294 | |
Dr. Paola Carolina Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Whitehall Dr Unit 118, St Augustine, FL 32086 Phone: 904-824-0990 Fax: 904-824-5898 | |
Alexander Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Tuscan Way, Ste. 306, St Augustine, FL 32092 Phone: 904-940-5757 | |
Silver Forest Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Silver Forest Dr Ste 104, St Augustine, FL 32092 Phone: 904-640-8288 | |
The Village Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Town Pl, Suite 106, St Augustine, FL 32092 Phone: 904-940-7990 Fax: 904-940-7991 | |
William J Morse Family Dentistry Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2199 A1a S, St Augustine, FL 32080 Phone: 904-471-3300 Fax: 904-471-5240 |