Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ORAL AND MAXILLOFACIAL SURGERY OF JACKSONVILLE, PLLC
NPI 1356253199
Dentist - Oral and Maxillofacial Surgery in St. Johns, FL

Q: What is Oral And Maxillofacial Surgery Of Jacksonville, PLLC's specialty?

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

Active since September 17, 2026

95 JAIDEV ROAD, BLDG 10, SUITE101, ST. JOHNS, FL 32259(904) 820-8956(904) 820-8957 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Oral And Maxillofacial Surgery Of Jacksonville, Pllc NPPES

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

ORAL AND MAXILLOFACIAL SURGERY OF JACKSONVILLE, PLLC (NPI 1356253199), doing business as Jacksonville Surgical Arts Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in St. Johns, Florida and active in the NPI registry since September 2026. The organization lists Vincent Perciaccante, Owner, as its authorized official.

NPPES Registry Identity

NPI1356253199

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL AND MAXILLOFACIAL SURGERY OF JACKSONVILLE, PLLC

Location Address95 JAIDEV ROAD, BLDG 10, SUITE101St. Johns, FL 32259-1140

Mailing Address95 Jaidev Road, Bldg 10, Suite101St. Johns, FL 32259-1140

Phone(904) 820-8956

Fax(904) 820-8957

Organization SubpartNo

Authorized OfficialVincent PerciaccanteOwner · (904) 820-8956

Enumeration DateSeptember 17, 2026

NPPES CertifiedSeptember 17, 2026

✔ NPI 1356253199 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.

95 JAIDEV ROAD, St. Johns, FL 32259

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Other Names 1

Doing Business AsJacksonville Surgical Arts Oral And Maxillofacial 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

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 Oral And Maxillofacial Surgery Of Jacksonville, PLLC's NPI number?

The NPI number for Oral And Maxillofacial Surgery Of Jacksonville, PLLC is 1356253199. It was assigned to this organization in the NPPES registry on September 17, 2026. The provider is doing business as Jacksonville Surgical Arts Oral and Maxillofacial Surgery.

Where is Oral And Maxillofacial Surgery Of Jacksonville, PLLC located?

Oral And Maxillofacial Surgery Of Jacksonville, PLLC is located at 95 Jaidev Road Bldg 10, Suite101, St. Johns, FL 32259. The listed phone number is (904) 820-8956.

What is Oral And Maxillofacial Surgery Of Jacksonville, PLLC'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 Oral And Maxillofacial Surgery Of Jacksonville, PLLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.