Organization
B&J-OMS, LLC
Active
Other names
Bird and Johnson Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A JOHNSON DDS (OWNER/ORAL SURGEON)
(321) 291-5196
Entity
Organization
Contact information
Practice address
96 WILLARD ST STE 105, COCOA, FL 32922-7945
(321) 291-5196
Mailing address
96 WILLARD ST STE 105, COCOA, FL 32922-7945
(321) 291-5196
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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