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GATEWAY ORAL SURGERY
NPI 1073336483
Dentist - Oral and Maxillofacial Surgery in Saint Augustine, FL

Active since November 04, 2024
180 CAPULET DR STE 3, SAINT AUGUSTINE, FL 32092(904) 299-2942(904) 299-2943 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Nov 4, 2024 (2 updates tracked since 2024).

About Gateway Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY ORAL SURGERY (NPI 1073336483) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Augustine, Florida and active in the NPI registry since November 2024. The organization lists Roger Myers, Owner, as its authorized official.

NPPES Registry Identity

NPI1073336483
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGATEWAY ORAL SURGERY
Location Address180 CAPULET DR STE 3Saint Augustine, FL 32092-4541
Mailing Address180 Capulet Dr Ste 3Saint Augustine, FL 32092-4541 · (904) 299-2942 · Fax (904) 299-2943
Phone(904) 299-2942
Fax(904) 299-2943
Organization SubpartNo
Authorized OfficialRoger MyersOwner · (904) 200-4375
Enumeration DateNovember 4, 2024
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1073336483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
180 CAPULET DR STE 3, Saint Augustine, FL 32092
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Other Names 1

Doing Business AsGateway Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROGER LEE MYERS D.M.D.
Dentist (Oral and Maxillofacial Surgery)
180 CAPULET DR STE 3
ST AUGUSTINE, FL 32092
St. Johns County (904) 299-2942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Oral Surgery's NPI number?

The NPI number for Gateway Oral Surgery is 1073336483. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Gateway Oral Surgery located?

Gateway Oral Surgery is located at 180 Capulet Dr Ste 3, Saint Augustine, FL 32092. The listed phone number is (904) 299-2942.

What is Gateway Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Gateway Oral Surgery was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.