OrganizationActive
Advanced Maxillofacial Surgical LLC
NPI 1821404914 · Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL
Provider details
- NPI number
- 1821404914
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jason Lee, Owner(904) 444-1578
- License
- DN18554 (FL)
Specialties & taxonomies
Dental Providers
Practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
Approximate (ZIP-level) locationGet directions
Mailing address
4257 Point La Vista Rd W
Jacksonville, FL 32207-6247
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.