BEACHES ORAL MAXILLOFACIAL SURGERY, PLLC - NPI 1265292346 - Oral & Maxillofacial Surgery in Jacksonville Beach, FL

Q: What is Beaches Oral Maxillofacial Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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About Beaches Oral Maxillofacial Surgery, Pllc NPPES

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

BEACHES ORAL MAXILLOFACIAL SURGERY, PLLC (NPI 1265292346) is a healthcare organization registered as an oral & maxillofacial surgery in Jacksonville Beach, Florida and active in the NPI registry since March 2024. The organization lists John Landis, Owner, as its authorized official.

NPPES Registry Identity

NPI1265292346

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameBEACHES ORAL MAXILLOFACIAL SURGERY, PLLC

Location Address472 JACKSONVILLE DRJacksonville Beach, FL 32250-3812

Mailing Address472 Jacksonville DrJacksonville Beach, FL 32250-3812 · (904) 246-6545 · Fax (904) 246-3718

Phone(904) 246-6545

Fax(904) 246-3718

Organization SubpartNo

Authorized OfficialJohn LandisOwner · (904) 246-6545

Enumeration DateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1265292346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

472 JACKSONVILLE DR, Jacksonville Beach, FL 32250

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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 5

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

DR. JOHN FREDERICK LANDIS DDS

Dentist (Oral and Maxillofacial Surgery)