ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA is an oral maxillofacial surgery in St Augustine, FL. The provider is 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. ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA NPI is 1629288824. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1301 PLANTATION ISLAND DR S
SUITE 101
ST AUGUSTINE, FL
ZIP 32080-108
Phone: (904) 460-0505
Fax: (904) 460-0506
The provider's authorized official is Douglas L Johnson .
The authorized official title is Owner and has the following contact phone number (904) 460-0505.
The CLIA number assigned to this NPI record is 10D1067825 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/23/2008.