Jacksonville Oral Surgery PLLC
NPI 1871123984 · Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL
Jacksonville Oral Surgery PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Jacksonville, FL (NPI 1871123984).
Provider details
- NPI number
- 1871123984
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mike Cole, Vp Insurance Plan Management(419) 553-1509
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 4232 Baymeadows RdJacksonville, FL 32217-4604Phone: (904) 739-0690
- 1409 Kingsley Ave Ste 5Orange Park, FL 32073-4561Phone: (904) 264-7383
Registry dates
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Frequently asked questions
- What is Jacksonville Oral Surgery PLLC's NPI number?
- Jacksonville Oral Surgery PLLC's National Provider Identifier (NPI) is 1871123984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Oral Surgery PLLC?
- Jacksonville Oral Surgery PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jacksonville Oral Surgery PLLC located?
- Jacksonville Oral Surgery PLLC's practice location on file with NPPES is 2047 Park St, Jacksonville, FL 32204-3809.
- What is Jacksonville Oral Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Oral Surgery PLLC is (904) 388-7665.
- Who is the authorized official for Jacksonville Oral Surgery PLLC?
- The authorized official listed on Jacksonville Oral Surgery PLLC's NPPES record is Mike Cole, Vp Insurance Plan Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Oral Surgery PLLC's NPI active?
- Yes — Jacksonville Oral Surgery PLLC's NPI (1871123984) is active in the NPPES registry as of the last update on 2020-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.