St Augustine Oral & Facial Surgical Center Pa is a Oral and Maxillofacial Dental Clinic in St Augustine, Florida. It is located at 1301 Plantation Island Dr S, Suite 101, St Augustine, FL and its contact number is 904-460-0505. The authorized person for St Augustine Oral & Facial Surgical Center Pa is Dr. Douglas L Johnson
who is Owner of the clinic and their contact number is 904-460-0505. The primary license number for St Augustine Oral & Facial Surgical Center Pa is DN15568 (Oral & Maxillofacial Surgery) in Florida. St Augustine Oral & Facial Surgical Center Pa Clinic deals with 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.
Complete Clinic Profile:
St Augustine Oral & Facial Surgical Center Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
St Augustine Oral & Facial Surgical Center Pa
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1301 Plantation Island Dr S, Suite 101, St Augustine, Florida, 32080-3108
Phone:
904-460-0505
Fax:
904-460-0506
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Douglas L Johnson
Position:
Owner
Contact Number:
904-460-0505
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for St Augustine Oral & Facial Surgical Center Pa clinic are as mentioned below.
NPI Number:
1629288824
NPI Enumeration Date:
23 May, 2007
NPI Last Update On:
23 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Augustine Oral & Facial Surgical Center Pa are as mentioned below.
Specialization
License Number
State
Status
Oral & Maxillofacial Surgery
DN15568
Florida
Primary
Oral and Maxillofacial Surgery
DN15568
Florida
Secondary
Plastic Surgery Within the Head and Neck
DN15568
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DD5857
Other
Florida
Railroad Medicare Group
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
St Augustine Oral & Facial Surgical Center Pa Po Box 7870, Springdale, Arkansas
Zip:
72766-7870
Phone Number:
479-464-5824
Fax Number:
479-725-2395
Patients can reach St Augustine Oral & Facial Surgical Center Pa at 1301 Plantation Island Dr S, Suite 101, St Augustine, Florida or can call to book an appointment on 904-460-0505. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.