Jaxoms, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JAXOMS, P.A.

Doing business as

South Florida Dental Implants & Oral Surgery

Practice address

9868 S State Road 7 Ste 245
Boynton Beach, FL 33472-4474

Phone

(561) 778-2914

Fax

(561) 778-2922

NPI assigned

Feb 17, 2026

Organization subpart

Yes

Parent organization

JAXOMS, P.A.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenn Heritage

Title

Credentialing Managaer

Phone

(402) 805-4516

Specialties & licenses 1

Addresses

Other names 1

• South Florida Dental Implants & Oral Surgery Doing business as

Tax ID family

Jaxoms PA4 organizations share this tax ID, including this one

Part of

Jaxoms PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1316821044
  NPD tax ID
• Jaxoms, P.a.

  dba Gulf Coast Dental Implants & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1619893336
  NPD tax ID
• Jaxoms, P.a.

  dba Coastal Dental Implants & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Cooper City, FL
  • NPI 1992634612
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jaxoms, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1316821044
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1811840267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9868 S STATE ROAD 7 STE 245",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724474",
            "telephone_number": "561-778-2914",
            "fax_number": "561-778-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 S STATE ROAD 7 STE 245",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724474",
            "telephone_number": "561-778-2914",
            "fax_number": "561-778-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXOMS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAXOMS, P.A.",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGAER",
        "authorized_official_telephone_number": "402-805-4516"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Dental Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.