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ADVANCED MAXILLOFACIAL SURGICAL LLC
NPI 1821404914
Dentist - Oral and Maxillofacial Surgery in Jacksonville, FL

Active since July 09, 2014
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6111 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Maxillofacial Surgical Llc NPPES

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

ADVANCED MAXILLOFACIAL SURGICAL LLC (NPI 1821404914) is a healthcare organization registered as an oral and maxillofacial surgery in Jacksonville, Florida and active in the NPI registry since July 2014. The organization lists Jason Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1821404914
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameADVANCED MAXILLOFACIAL SURGICAL LLC
Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207
Mailing Address4257 Point La Vista Rd WJacksonville, FL 32207-6247 · (904) 703-2236
Phone(904) 702-6111
Organization SubpartNo
Authorized OfficialJason LeeOwner · (904) 444-1578
Enumeration DateJuly 9, 2014
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1821404914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN18554
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.

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

KAREN ELIZABETH ANDERSON M.D.
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 387-4630
DAVID ARTHUR BAXENDALE D.O.
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 387-0006
ANESTHESIA CONSULTANTS PA
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 387-0006
DOUGLAS MICHAEL CASTELLANO MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
DIANE WONJIN CHUNG MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
JAMES C BOMAN MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
EDWARD ALLEN MAYBURY MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
STUART KENNETH BERGMAN MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
PATRICIA JEAN BURNS DO
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
ROBERT MICHAEL CARLSON MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
DENNIS EDWIN MCCARTHY MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
RAUL RAMON ORTA MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
CARLA MAUREEN VINCENT MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
CARMENCITA O ONG MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
MARK C MONROE MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
RICHARD WILLIAM STEWART JR. MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
JACKSONVILLE EMERGENCY CONSULTANTS
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 399-6811
QIHENG SHEN MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
DR. MICHAEL EUWEMA MD
Emergency Medicine
3625 UNIVERSITY BLVD S, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32216
Duval County (904) 346-3606
DR. MARK BRODEUR MD
Emergency Medicine (Emergency Medical Services)
3625 UNIVERSITY BLVD S, EMERGENCY DEPT
JACKSONVILLE, FL 32216
Duval County (904) 346-3606

Frequently Asked Questions

What is ADVANCED MAXILLOFACIAL SURGICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1821404914, enumerated as an "organization" on July 09, 2014.

Where is the provider located?

The provider is located at 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 and the phone number is (904) 702-6111.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.