NPI Profile for ST AUGUSTINE ORAL FACIAL SURGICAL CENTER PA in SAINT AUGUSTINE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI # | 1629288824 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/23/2007 | |
| Last updated | 06/23/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA
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| NEHA M PANDYA, DMD 15 SAINT JOHNS MEDICAL PARK DRIVE SAINT AUGUSTINE, FL |
| BORGES DMD PLLC [email protected] SAINT AUGUSTINE, FL |
| STEVEN R FREEMAN, DDS 319 WEST TOWN PLACE SAINT AUGUSTINE, FL |
| WILLIAM G NEWTON, DDS 128 YELVINGTON RD. EAST PALATKA, FL |
| PAUL D JOHNSON, DMD 25 PINE CONE DRIVE PALM COAST, FL |
| MICHAEL C WINTER, DDS 100 PROFESSIONAL DRIVE PONTE VEDRA BEACH, FL |
| JAMES P WEAVER, DMD 112 BARTRAM OAKS WALK JACKSONVILLE, FL |
| BENIGNO RAMIREZ, DDS 507 EAST MOODY BOULEVARD BUNNELL, FL |
| JOSEPH G CHIAFAIR DDS MS PA 9471 BAYMEADOWS RD JACKSONVILLE, FL |
| COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS 1647 COUNTRY ROAD 220, SUITE 101 FLEMING ISLAND, FL |