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JAXOMS, P.A.
NPI 1992634612
Dentist - Oral and Maxillofacial Surgery in Cooper City, FL

Active since May 18, 2026
9900 STIRLING RD STE 300, COOPER CITY, FL 33024(402) 805-4516 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaxoms, P.a. NPPES

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

JAXOMS, P.A. (NPI 1992634612), doing business as Coastal Dental Implants & Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Cooper City, Florida and active in the NPI registry since May 2026. The organization lists Jenn Heritage, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1992634612
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJAXOMS, P.A.
Location Address9900 STIRLING RD STE 300Cooper City, FL 33024-8066
Mailing Address9900 Stirling Rd Ste 300Cooper City, FL 33024-8066 · (402) 805-4516
Phone(402) 805-4516
Organization SubpartYes
Authorized OfficialJenn HeritageCredentialing Manager · (402) 805-4516
Enumeration DateMay 18, 2026
Last NPPES UpdateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1992634612 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.
9900 STIRLING RD STE 300, Cooper City, FL 33024
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Other Names 1

Doing Business AsCoastal Dental Implants & Oral 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 Jaxoms, P.A.'s NPI number?

The NPI number for Jaxoms, P.A. is 1992634612. It was assigned to this organization in the NPPES registry on May 18, 2026. The provider is doing business as Coastal Dental Implants & Oral Surgery.

Where is Jaxoms, P.A. located?

Jaxoms, P.A. is located at 9900 Stirling Rd Ste 300, Cooper City, FL 33024. The listed phone number is (402) 805-4516.

What is Jaxoms, P.A.'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 Jaxoms, P.A. was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.