St. Johns Oral Surgery | |
2050 Saint Johns Pkwy Ste 101 St Johns FL 32259-4593 | |
(904) 267-1295 | |
(904) 299-2942 |
Full Name | St. Johns Oral Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2050 Saint Johns Pkwy Ste 101, St Johns, Florida |
Authorized Official Name and Position | Roger Myers (OWNER) |
Authorized Official Contact | 9042004375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Johns Oral Surgery 19 Saint Johns Medical Park Dr St Augustine FL 32086-4342 Ph: (904) 267-1295 | St. Johns Oral Surgery 2050 Saint Johns Pkwy Ste 101 St Johns FL 32259-4593 Ph: (904) 267-1295 |
NPI Number | 1710707328 |
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Provider Enumeration Date | 10/16/2024 |
Last Update Date | 10/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710707328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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