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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: August 16, 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 NPPES 20

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

LINDSAY MICHELLE PUTKOWSKI CRNA
Nurse Anesthetist, Certified Registered
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
KENNETH AUNG-DIN MD
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 399-6811
MRS. GLORIANNE BOYD RD,LD/N
Dietitian, Registered
3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216
Duval County (904) 399-6313
PETER LOUIS KOVACS MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
NAKISH DANIELLE GRANT M.D.
General Practice
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
SUMMIT EMERGENCY PHYSICIANS, LLC
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (469) 401-2386
KELLY MICHELLE DEWIT PHARMD
Pharmacist
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6160
DR. JUDY BOWERS M.D.
Obstetrics & Gynecology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6850

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 Advanced Maxillofacial Surgical LLC's NPI number?

The NPI number for Advanced Maxillofacial Surgical LLC is 1821404914. It was assigned to this organization in the NPPES registry on July 9, 2014.

Where is Advanced Maxillofacial Surgical LLC located?

Advanced Maxillofacial Surgical LLC is located at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6111.

What is Advanced Maxillofacial Surgical LLC'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 Advanced Maxillofacial Surgical LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.