1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Oral Maxillofacial Surgery
  6. NPI Profile

FIRST COAST ORAL & FACIAL SURGERY, PA
NPI 1356601249
Oral & Maxillofacial Surgery in St Augustine, FL

Active since May 24, 2012
319 W TOWN PLACE, SUITE 2, ST AUGUSTINE, FL 32092(904) 529-8889 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About First Coast Oral & Facial Surgery, Pa NPPES

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

FIRST COAST ORAL & FACIAL SURGERY, PA (NPI 1356601249) is a healthcare organization registered as an oral & maxillofacial surgery in St Augustine, Florida and active in the NPI registry since May 2012. The organization lists Thomas E Stakem, President, as its authorized official.

NPPES Registry Identity

NPI1356601249
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameFIRST COAST ORAL & FACIAL SURGERY, PA
Location Address319 W TOWN PLACE, SUITE 2St Augustine, FL 32092
Mailing Address319 West Town Place #2St. Augustine, FL 32092 · (904) 529-8889 · Fax (904) 529-8893
Phone(904) 529-8889
Organization SubpartNo
Authorized OfficialThomas E StakemPresident · (904) 529-8889
Enumeration DateMay 24, 2012
✔ NPI 1356601249 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.
319 W TOWN PLACE, St Augustine, FL 32092
Open in Google Maps ↗

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 First Coast Oral & Facial Surgery, PA's NPI number?

The NPI number for First Coast Oral & Facial Surgery, PA is 1356601249. It was assigned to this organization in the NPPES registry on May 24, 2012.

Where is First Coast Oral & Facial Surgery, PA located?

First Coast Oral & Facial Surgery, PA is located at 319 W Town Place Suite 2, St Augustine, FL 32092. The listed phone number is (904) 529-8889.

What is First Coast Oral & Facial Surgery, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for First Coast Oral & Facial Surgery, PA was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.