St Augustine Oral & Facial Surgical Center Pa
Oral and Maxillofacial Dental Clinic
1301 Plantation Island Dr S, Suite 101, St Augustine
Florida, 32080-3108
904-460-0505 904-460-0506
Maps & DirectionsSt 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.