# JAXOMS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAXOMS, P.A.
- **Other names:** South Florida Dental Implants & Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811840267
- **Legal business name:** JAXOMS, P.A.
- **Authorized official:** JENN HERITAGE (CREDENTIALING MANAGAER)
- **Authorized official phone:** (402) 805-4516

## Contact information

- **Practice address:** 9868 S STATE ROAD 7 STE 245, BOYNTON BEACH, FL 33472-4474
- **Practice address phone:** (561) 778-2914
- **Practice address fax:** (561) 778-2922
- **Mailing address:** 9868 S STATE ROAD 7 STE 245, BOYNTON BEACH, FL 33472-4474
- **Mailing address phone:** (561) 778-2914
- **Mailing address fax:** (561) 778-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2026
- **Last updated:** 02/17/2026