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ST. JOHNS ORAL SURGERY
NPI 1710707328
Dentist - Oral and Maxillofacial Surgery in St Johns, FL

Active since October 16, 2024
2050 SAINT JOHNS PKWY STE 101, ST JOHNS, FL 32259(904) 267-1295(904) 299-2942 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Johns Oral Surgery NPPES

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

ST. JOHNS ORAL SURGERY (NPI 1710707328) is a healthcare organization registered as an oral and maxillofacial surgery in St Johns, Florida and active in the NPI registry since October 2024. The organization maintains a secondary practice location in St Augustine and lists Roger Myers, Owner, as its authorized official.

NPPES Registry Identity

NPI1710707328
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameST. JOHNS ORAL SURGERY
Location Address2050 SAINT JOHNS PKWY STE 101St Johns, FL 32259-4593
Mailing Address19 Saint Johns Medical Park DrSt Augustine, FL 32086-4342 · (904) 267-1295 · Fax (904) 299-2942
Phone(904) 267-1295
Fax(904) 299-2942
Organization SubpartNo
Authorized OfficialRoger MyersOwner · (904) 200-4375
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1710707328 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.
2050 SAINT JOHNS PKWY STE 101, St Johns, FL 32259
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Secondary Practice Location 1

Location 119 Saint Johns Medical Park DrSt Augustine, FL 32086-4342 · Phone (904) 267-1295 · Fax (904) 299-2942

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 St. Johns Oral Surgery's NPI number?

The NPI number for St. Johns Oral Surgery is 1710707328. It was assigned to this organization in the NPPES registry on October 16, 2024.

Where is St. Johns Oral Surgery located?

St. Johns Oral Surgery is located at 2050 Saint Johns Pkwy Ste 101, St Johns, FL 32259. The listed phone number is (904) 267-1295.

What is St. Johns 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 St. Johns Oral Surgery was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.