Organization
JAXOMS, P.A.
Active
Parent organization
JAXOMS, P.A.
Other names
South Florida Dental Implants & Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAXOMS, P.A.
Authorized official
JENN HERITAGE (CREDENTIALING MANAGAER)
(402) 805-4516
Entity
Organization
Contact information
Practice address
9868 S STATE ROAD 7 STE 245, BOYNTON BEACH, FL 33472-4474
(561) 778-2914
(561) 778-2922
Mailing address
9868 S STATE ROAD 7 STE 245, BOYNTON BEACH, FL 33472-4474
(561) 778-2914
(561) 778-2922
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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