FIRST COAST ORAL & FACIAL SURGERY, PA – Oral & Maxillofacial Surgery (D.M.D.), NPI 1356601249

FIRST COAST ORAL & FACIAL SURGERY, PA is a healthcare provider. based in St. augustine, Florida. specializing in Oral & Maxillofacial Surgery (D.M.D.). The NPI Number for FIRST COAST ORAL & FACIAL SURGERY, PA is 1356601249

Main info

Organization
Name
FIRST COAST ORAL & FACIAL SURGERY, PA
NPI
1356601249
Phone
(904) 529-8889
Address
319 WEST TOWN PLACE #2
Authorized Official
DR. THOMAS E STAKEM PRESIDENT D.D.S., M.D.
Enumeration Date
24 May 2012
Last Update Date
24 May 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for FIRST COAST ORAL & FACIAL SURGERY, PA

  • 319 WEST TOWN PLACE #2

    ST. AUGUSTINE, FL 32092

    Phone: (904) 529-8889

    Fax: (904) 529-8893

    Type: Mailing

  • 319 W TOWN PLACE

    SUITE 2

    ST AUGUSTINE, FL 32092

    Phone: (904) 529-8889

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Frequently asked questions

Does FIRST COAST ORAL & FACIAL SURGERY, PA have a public NPI I can cite?
Public records show FIRST COAST ORAL & FACIAL SURGERY, PA under NPI 1356601249.
Is FIRST COAST ORAL & FACIAL SURGERY, PA's NPI status active today?
Active status means FIRST COAST ORAL & FACIAL SURGERY, PA's NPI record is not deactivated in the public file.
How should patients interpret FIRST COAST ORAL & FACIAL SURGERY, PA's specialty?
The extract shows Oral & Maxillofacial Surgery (D.M.D.) for FIRST COAST ORAL & FACIAL SURGERY, PA. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FIRST COAST ORAL & FACIAL SURGERY, PA?
FIRST COAST ORAL & FACIAL SURGERY, PA is associated with St. Augustine, Florida in the same public data insurers reference.
Who maintains FIRST COAST ORAL & FACIAL SURGERY, PA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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