ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA
ST AUGUSTINE ORAL & FACIAL SURGICAL CENTER PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629288824, based in St Augustine, FL. The organization lists 3 taxonomy classifications, with Oral & Maxillofacial Surgery (D.M.D.) recorded as primary.
Getting there
The practice address on file is 1301 PLANTATION ISLAND DR S SUITE 101, St Augustine, FL 32080. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DN15568 | FL | Oral and Maxillofacial Surgery (Dentist) |
| DN15568 | FL | Plastic Surgery Within the Head and Neck… |
| DN15568 | FL | Oral & Maxillofacial Surgery (D.M.D.) primary |
This provider holds licence DN15568 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Oral & Maxillofacial Surgery covers
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | DN15568 | FL | |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Plastic Surgery Within the Head and Neck | DN15568 | FL | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DN15568 | FL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629288824 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 23, 2007 |
| Last updated | Jun 23, 2008 |
| Status | Active |
| Practice address |
1301 PLANTATION ISLAND DR S SUITE 101 St Augustine, FL 32080 (904) 460-0505 Fax (904) 460-0506 |
| Mailing address |
PO BOX 7870 Springdale, AR 72766 |
| Other identifiers |
DD5857
· Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 2 | 8 | 8 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 4 | 8 | 7 | 8 | 4 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.