Organization
ST. JOHNS ORAL SURGERY
Active
Organization
ST. JOHNS ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MYERS DMD (OWNER)
(904) 200-4375
Entity
Organization
Contact information
Practice address
2050 SAINT JOHNS PKWY STE 101, ST JOHNS, FL 32259-4593
(904) 267-1295
(904) 299-2942
Mailing address
19 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086-4342
(904) 267-1295
(904) 299-2942
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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