JAXOMS P.A. NPI 1811840267

NPI Information

  • NPI: 1811840267
  • Provider Name: JAXOMS, P.A.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 9868 S STATE ROAD 7 STE 245
    BOYNTON BEACH, FL
    ZIP 33472
  • Phone: (561) 778-2914

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NPI Details

JAXOMS, P.A. is an oral and maxillofacial surgery dentist in Boynton Beach, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JAXOMS, P.A. NPI is 1811840267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9868 S STATE ROAD 7 STE 245
BOYNTON BEACH, FL
ZIP 33472-474
Phone: (561) 778-2914
Fax: (561) 778-2922

The provider's authorized official is Jenn Heritage .
The authorized official title is Credentialing Managaer and has the following contact phone number (402) 805-4516.

The enumeration date for this NPI number is 2/17/2026 and was last updated on 2/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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