OrganizationActive
St Augustine Oral & Facial Surgical Center PA
NPI 1629288824 · Oral & Maxillofacial Surgery (D.M.D.) · St Augustine, FL
Provider details
- NPI number
- 1629288824
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Johnson, Owner(904) 460-0505
- License
- DN15568 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 Plantation Island Dr S
Suite 101
St Augustine, FL 32080-3108
Phone: (904) 460-0505
Fax: (904) 460-0506
Street-level locationGet directions
Mailing address
Po Box 7870
Springdale, AR 72766-7870
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.