OrganizationActive
Beaches Oral Maxillofacial Surgery, PLLC
NPI 1265292346 · Oral & Maxillofacial Surgery (D.M.D.) · Jacksonville Beach, FL
Provider details
- NPI number
- 1265292346
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Landis, Owner(904) 246-6545
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
472 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Phone: (904) 246-6545
Fax: (904) 246-3718
Approximate (ZIP-level) locationGet directions
Mailing address
472 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.