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Organization

GATEWAY ORAL SURGERY

Active
Other names
Gateway Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER MYERS DMD (OWNER)
(904) 200-4375
Entity
Organization

Contact information

Practice address
180 CAPULET DR STE 3, SAINT AUGUSTINE, FL 32092-4541
(904) 299-2942
(904) 299-2943
Mailing address
180 CAPULET DR STE 3, SAINT AUGUSTINE, FL 32092-4541
(904) 299-2942
(904) 299-2943

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
11/04/2024
Last updated
02/12/2025
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