Dental Specialists of North Florida

At Dental Specialists of North Florida, we strive to make every interaction with our patients as positive as possible. We go above and beyond to help our esteemed guests obtain solutions to any problems they may have. Our office is a special place, created by incredible people who do what we do in the best way possible, for the best reasons possible. Dr. John Thousand, Dr. Robert Thousand Jr. and Dr. Michael Romani understand that our patients are frequently in physical and emotional pain, and our periodontists work to alleviate these ailments with truly compassionate service. Call today to visit us for periodontal therapy and oral surgery in St. Augustine and Palm Coast, Florida, and experience the high standard of excellence we hold ourselves and our services to.

Meet Our Team

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Dr. John Thousand, IV received his bachelor’s degree in molecular, cellular, and developmental Biology from the University of Colorado Boulder before attending the Anschutz Medical Campus, School of Dental Medicine for his graduate dental degree. As a student at the School of Dental Medicine, Dr. Thousand accelerated in surgical aspects of dentistry with a concentration in implantology. In his senior year, the American Academy of Implant Dentistry awarded him the Student Research Grant, which he used to study the effects of inflammation around implants.

Dr. Thousand completed his specialty training in periodontics at the University of Colorado School of Dental Medicine, where he received a master’s degree in periodontology. As a resident, he researched the effects of bone grafting materials on the sinus floor topography, the variability in root volume as it relates to bone grafting and the effect of various cementing techniques on residual cement around implant restorations.

After successful completion of his master’s residency, Dr. Thousand was accepted into the Implantology Fellowship program where he pursued additional research in bone grafting techniques and expanded his skill set in complex regenerative and prosthetic implant dentistry.

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Dr. Thousand was born in St. Louis, Missouri, and married his childhood sweetheart, Jane. They had one child (Dr. Robert Thousand Jr.) and both worked full-time jobs while attending the University of Missouri and Washington University. Dr. Thousand graduated from Central Missouri State University with a bachelor’s degree in biochemistry and additional minors in both physics and math.

Directly after college, both Dr. Robert Thousand Jr., and his brother, Dr. Dennis Thousand, served in the United States Army as drill sergeants during the Vietnam War. While serving in the Army, Dr. Thousand attended dental school at the University of Missouri in Kansas City with a full scholarship. He graduated with honors from the oral surgical department and cultivated an interest for the surgical aspects of dentistry.

After dental school Dr. Thousand and his family moved to Lincoln, Kansas, to practice general dentistry. While in Lincoln, Dr. Thousand operated as chief dental surgeon for the Lincoln County General Hospital. Continuing his interest in surgery, Dr. Thousand applied and was accepted for one of two positions at the University of Florida Dental School Department of Periodontics.

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Dr. Michael Romani received his bachelor’s degree in human biology with a minor in chemistry from California State University in Fresno. Upon graduation, he was admitted to the Anschutz Medical Campus, School of Dental Medicine to begin his graduate dental degree. Early in his dental education, Dr. Romani and Dr. Thousand became great friends and worked on several research projects together, including topics that covered the effects of bone grafting on sinus pneumatization and techniques to reduce retained cement around implant-supported prostheses. Dr. Romani accelerated throughout his dental education, quickly showed an interest in surgical dentistry and committed to pursuing a career in periodontics.

Dr. Romani attended his three-year post-graduate training at the Medical University of South Carolina in Charleston. During his residency, he received extensive training in IV sedation, surgical extractions, complex implant placement, regenerative surgical dentistry including bone, sinus and soft tissue grafting, and the prevention and treatment of advanced periodontal disease. He served as the chief resident during his last year and completed research in the MUSC Pathology Laboratory on gingival cysts of the adult.

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Do you have any questions about dental implants? Well you've come to the right place! Our doctor, John Thousand IV, wrote a book about all things implants. This book covers the reasons to get implants, common questions and answers, as well as detailing thoroughly how to get impossibly perfect implants! If you want to learn more, you can purchase the ebook at Barnes and Noble, pick up a copy at the office, or you can schedule your consultation with us today!

What our patients are saying...

"What an amazing experience! Dr. Thousand removed 2 of my wisdom teeth and made it a great experience from beginning to end. All the staff are so kind and gentle. Everything was explained before they started and make you feel so comfortable. Dr. Thousand even gave me a personal phone call that nig..."

"Such an amazing experience! Had 2 wisdom teeth removed by Dr. Thousand and felt comfortable as soon as I arrived. They explained everything to me before they did it and were so kind. Dr. Thousand even gave me a personal phone call that night to check on me. True patient care!! Would recommend the..."

"I couple of years ago I was introduced to the Dental Specialist of North Florida. I was going through a difficult time and I was having a lot of problems. Going to a dentist always scared me and nothing changed about that but I finally found a provider that is helping me to address my fear. I wen..."

"Dr. Romani is awesome! He's very kind and professional. I was a bit nervous about my procedure but he made me feel at ease. I didn't have any pain during my recovery and my results were incredible. The rest of the staff was great as well. Everyone was very friendly and helpful. They made this exp..."

"Dr. Romani and Dr. Thousand are both phenomenal guys and skilled periodontists. My sister works in the dental field and when I needed a tooth extracted and an implant put in, she recommended them above and beyond any others in the state of Florida. I drove all the way from the Tampa Bay Area for ..."

"No words can describe how amazing everyone was!!! Dr. Thousand IV is EXTREMELY KNOWLEDGEABLE and COMPASSIONATE. He is the most wonderful and amazing doctor I have ever met. If you have dental issues, go here. Great clinic, latest technology, amazing team. Shawna is a practice manager. Thank you..."

"Wonderful care and service. A year ago, I cracked a tooth a couple days before a scheduled trip. The office squeezed me in, and Dr. Thousand did extraction and implant in one visit. Friendly, fun staff. Only dentist office I've ever been that had reggae playing instead of easy listening or oldies."

"I just love Dr. Thousand! So personable and genuinely caring. I def recommend to everyone!!"

"Dr Michael Romani is amazing. I needed an emergency extraction and he took care of me without question. Thank you!!"

"Awesome practice."


"My experience with Dr Romani in extracting my teeth was absolutely wonderful. Dr Romani was experienced, gentle and made me feel relaxed throughout the whole procedure. I would definitely go back to him again should the need arise. Gabriel"

"Extremely high care and quality and Loves his profession.I am extremely happy with my results.I am so grateful for Dr. John Thousand....his honesty,compassion and transparency, I received.If your needing a very talented professional Periodontist,that also makes you unafraid of getting implants or..."

"Thank you kindly for getting my son out of pain! He's had headaches for many months. We went to his physician and eye Dr and nothing was found. It was his wisdom teeth. Thank you for seeing him on an emergency basis and treating him w the utmost respect. I'm forever grateful. Y'all run a fan..."

"I went to Dr. John Thousand for a second opinion on possible gum surgery. I left with a treatment plan and appointment. Before my appointment, several things transpired causing me to have to have more work done. Dr. John fixed my gums on three teeth which required graphs. He also extracted on..."

"A painless experience in a very professional atmosphere. The staff as well as Dr. Thousand are kind, caring and attentive."

"I saw Dr. John Thousand for the first time on 11/13/2019 for an uncovering appointment. I knew I had some serious issues which required tooth extraction and bone grafting and I was very nervous about the visit. Dr. Thousand started about the awesome kayak fishing places near the Guana River Dam f..."

"THE BEST experience I have ever had with a dentist. The office instantly was very inviting, and warm, from his positive staff. Dr. Thousand and his team made a tooth extraction quick, and painless, while making me laugh in the process. Dr. Thousand is awesome and genuinely cares, Highly recomm..."

"Michael Romani was my periodontist in his final year at MUSC, Charleston,SC. I wanted to get implants to replace a damaged bridge. He was very knowledgeable and kept me informed about each step of the process. He is very patient and caring. He never rushed the process and made sure I was ready ..."

"When I needed a periodontist to take care of my dental problem I looked for "the best" in the region. Time after time I was referred to Dr. Thousand. He and his team could not have been more attentive, professional and successful in my treatment. I would recommend them to anyone."

"Dr. John Thousand IV and his staff at Dental Specialists are the best! Professional, personable and compassionate care. Should I need periodontal care in the future, I will certainly return to Dr. Thousand and Dental Specialists."

"My name is Patricia Nease, and I have been a patient here since 2016. I would encourage everyone to come to this office, and I can assure you that this is the best doctor in the country. I would allow this office to show my details on how brilliant that Doctor John has improved my smile and my co..."

"Dr. John Thousand IV is an exceptionally good periodontist. I’ve been a patient of his for a couple of years and I’m truly impressed with his skills. He was definitely born to do this! I was in a horrible accident 15 years ago so therefore I have to go to the dentist a lot. Going to the dentist ..."

"I originally saw Dr. John for periodontal disease and that was very quickly resolved. I recently went back for an implant procedure and Dr. John and Colleen explained exactly the process in detail. Following the procedure, Dr. John texted me to see how I was doing the next day. Everything was per..."

"Upon arrival to the Doctors’s Office, the staff was very cordial and very responsive to our needs... Everyone was extremely nice and very effective. Dr. John was wonderful and great communicator... I highly recommend Dr. John and Company... Probably one of the best experiences that my family and ..."

"Absolutely amazing!! I've had the best experience ever with Dr. Thousand and staff!! The customer service I received was top notch!! They have made me and my family customers for life! Will recommend to anyone needing care! Sad to say, but totally blown away by the customer service I received!!! ..."

"Michael Romani is an amazing periodontist! I was under his care for the last year of his work at MUSC Charleston,SC. I have always dreaded all dental work with a passion; however Dr Romani changed this attitude. He is very patient, well-trained, and caring. I looked forward to each step of the..."

"Top shelf, extremely professional I highly recommend. Dr. Thousand and all his staff are the best. Customer service is second to none."

"Dr. Thousand is AMAZINGG !!!! After all the horrible traumatic experiences I have had with dentists, Dr.Thousand was such a breath of crisp fresh air. He could tell I was very scared and traumatized and worked with me, he didn't make me feel like he was annoyed (even though I know I was lol) or r..."

"Dr. John Thousand and his team are great, I highly recommend them!!!!!"

"I was referred from Dr Morris in Palatka for oral surgery. Dr John Thousand IV and the staff are very professional and friendly. They made me feel comfortable about the procedure from the beginning and would HIGHLY recommend them for anyone needing oral surgery."

"The experience I am sharing with you is very unique. I am a senior citizen and have a lot dental work in my life. My latest experience was a double implant preformed on my right upper side. Going into the procedure I had a lot of fear and concern that things were not going to go well. In addition..."

"I had a gum graft done recently by Dr. Thousand and it was an extremely easy experience. Their two offices are clean and well managed. The surgery itself was quick and painless. After 3 days of non-solid foods I felt about 80% of myself again. After 2 weeks I was completely healed, and the stitch..."

"Great service and friendly staff. I would recommend Dr Thousand to anyone who needs a graph."

"I knew the minute I walked into the door I would be well taken care of. As a health care professional, it has always been my practice to treat my patients as I would want to be treated and that is with kindness and respect. I found that to be true with Nicki and Dr. John Thousand. I was quite sur..."

"Great service and friendly staff. I would recommend Dr Thousand to anyone who needs a graph."

"From my initial inquiry about having an immediate molar extraction to my follow up visit after the remarkable procedure with Dr. Thousand, service was exceptional. The genuine caring staff with the doctor's sincere follow up call reflects the quality care you can expect. Without hesitation I woul..."

"OMG Dr Thousand and His staff are amazing.!!! His work on my gum graft came out awesome😁 Thank you to all of them for making the day of the surgery go smoothly. I would highly recommend this doctor and his staff to anyone. Thank you again Dr Thousand😁😁"

"Couldn't ask for a better place to go. Everyone is friendly and helpful. Dr.John is amazing and does amazing work. You can tell he loves what he does. Tell anyone you know if they need somewhere to go this is it. I can't say enough about them."

"I had gum grafting with Dr. John Thousand. He and his staff are awesome! The outcome exceeded my expectations, overall excellent doctor."

"I had to get a tooth implant, and this office made the experience wonderful. Dr. Thousand is enthusiastic, high energy, and wants to do the best job for his patients. All members of the staff are friendly and professional. I highly recommend this office for your dental needs."

"My first experience was very positive. Everyone was most positive, upbeat and friendly. The examination and explanations were thorough, and I liked the fact that I was able to view the x-rays with actual pictures of the problem and solution. I would highly recommend this dental office."

"Dr John is an amazing Dentist.. I had to have a dental implant and as crazy as it sounds.. NO PAIN!!!! The Staff there is extremely friendly and the services are Top notch. I was a little nervous having the procedure but everyone there informed me of what to expect and it was a breeze. I would ..."

"I had put off getting my implant surgery done for years. I finally had this done two weeks ago and everything was fantastic. Dr. Thousand and his staff took extremely good care of me and I went through the surgery with flying colors. I wish I had done this years ago Thank you Dr Thousand and ..."

"Dental Specialists Of North Florida is awesome. Dr. Thousand and his assistants, as well as the front office staff, are genuinely kind, helpful, and show how much they care about their patients. I was very apprehensive about having soft tissue graft surgery. Dr. Thousand and his staff listened..."

"Dr. John Thousand performed gum surgery on me two weeks ago and I was pleasantly surprised that the surgery was quick (in and out in an hour), Dr. Thousand and his assistants were very attentive to me and how I was feeling before, during and after surgery. I followed the doctor's instructions pos..."

"My experience with Dr. Thousand has been above all my expectations. I was very nervous going in for my extraction. Dr. Thousand and his staff were very gentle, caring and informative. They prepared me very well for aftercare. His videos were very informative and helped me through the healing proc..."

"Dr. Thousand is a great periodontist. I had an invasive procedure and barely felt pain. The recovery was as he detailed and results outstanding. Dr. Thousand is courteous and takes the time to answer all questions. The staff are just as kind and respectful as he is. The office is a pleasure t..."

"The procedure for me sounded rather threatening -- tooth extraction, bone graft and implant -- in one appointment. Dr. John Thousand and the technician, Liz, did a variety of things being sensitive and supportive of me during this extended procedure. In addition, they both answered all of my qu..."

"I cannot say enough about Dr. Thousand. I was expecting the worst as my husband had 3 previous implants and it was a nightmare. From the moment of my first visit, I was put at ease. Every question was answered. I was given a choice of anesthesia, given all prescriptions ahead of time so that ..."

"If you are in need of a periodontist, Dr. John Thousand and his staff are THE BEST! I had heard great things about Dr. Thousand from my general dentist and I am so pleased with the outcome of my grafting procedure. Dr. Thousand is gentle, compassionate, and a great communicator. I highly recom..."

"Brilliant docs w/experience, well-rounded and friendly. Helpful and attentive support staff. Clean! Uses Dental CT"

"Absolutely fantastic dentist and surgeon. I was really dreading my appointment (for extraction), but the moment Dr. Thousand walked in I knew I had nothing to worry about. He is absolutely charming, engaging and extremely patient. His enthusiasm for his work is infectious and by the time we wer..."

"My experience with Dr. Thousand and the entire staff was very positive and I highly recommend. I had a cracked tooth that could not be saved so my regular dentist said my options were basically a bridge, an implant or extraction with no replacement and that my best option would be an implant. He ..."

"VERY caring and wonderful staff! Dr. Thousand was one of the friendliest, enthusiastic and genuine professionals I have ever dealt with. He breezed thru my daunting extraction and bone graph. My pain was minimal and Dr. thousand explained thoroughly the process and what to expect in the next phas..."

"I wish I had seen Dr. Robert Thousand first! He is very polite and gentle. And the staff is just wonderful!!"

"This is where you need to go. Stop searching for a Periodontist. I was really nervous about having a gum graft. I thought it would hurt and I didn't know what to expect with the outcome. It was so easy and quick. No pain. And the outcome is better than I ever expected. The staff is so friendly an..."

"I consider myself an educated consumer, and I am particular about customer service. I am also a physician and I hold my medical colleagues to a high standard. I was referred to Dr. Thousand for a tooth extraction and implant and I was extremely impressed with him and his staff. They worked with m..."

"I was very pleased with the professionalism of the entire office staff, as well as my very positive Periodontal experience with Dr. Thousand. All of my anxieties and fears were completely put to rest with my surgical gum procedure."

"I have had so many dental procedures done that I like I have a degree in this. Dr. Thousand is working with me on implants. The surgery was painless, recovery was mild compared to other procedures I have endured in different states, and this service was attentive to any needs or issues.This has ..."

"Happy, friendly low keyed and kicked back crew, made a potentially bad experience a good one!"

"Dr. John Thousand is a fantastic dentist! I highly recommend him. He really knows what he is doing and is very passionate about what he does. He is extremely friendly and explains everything really well. He truly cares about people and does incredible dentistry!"

"From the moment I walked into Dental Specialists of North Florida I knew I was in the right place. Dr. John and Dr.Bob explained everything to me in great detail regarding the procedures that I needed to undergo. Their positive attitude and genuine concern for their patients put me at ease imme..."

"Dr Thousand, beyond professional expertise, has a supportive and compassionate chair-side manner. The staff exhibits a balance of efficiency and empathy combined with a personal graciousness that puts the patient at ease."

"Doctor John Thousand is the BEST. He found a problem with a tooth that had been root canaled years ago. It has bothered me for the longest. I went to other dentists that told me there was nothing wrong it and that it shouldn't hurt. He took extra time to listen me and found the problem. I will re..."

"I went to DSNF because of tooth discomfort. A catscan of the tooth revealed a fracture which required that it be extracted. The tooth was a molar which had previously had a root canal. The crown had to be removed and the tooth cut into three pieces to make removal less traumatic. The removal ..."

"Dr. Thousand is someone that can be easley explained as compassionate. He is someone I would trust with any future surgeries. He not only cares about his patients but also growing and providing state of the art procedures and knowledge. Dr. Thousand is great at explaining the process and will ..."

"I was referred to Dr Thousand by by family dentist. His staff from the office to the hygienist were all friendly, professional and we're very knowledgeable. I needed gum surgery, which was performed with no pain after being numbed. Dr. Thousand followed up that evening to be sure I was doing well..."

"I am getting dental implants. Dr thousand IV performed a sinus lift with a bone graft. I initially was nervous about the procedure but the experience was painless and he along with the entire staff were amazing. Dr Thousand IV was extremely efficient, caring and explained everything to me during ..."

"Dr. John made my dental visit great! I felt comfortable and at easy with him and his staff! I know I am in great hands with a lot of experience!"

"Mr John Thousand is amazing.."

"I came in for an extraction. Dr. Thousand was patient with me and very knowledgeable. This was the best experience. I was scared and nervous, he put me at ease. And the extraction was 100% pain free. Unheard of! Thanks Dr. John thousand, you are the best!"

"I had to take my son to see Dr. Thousand IV today and I'm so glad I was referred to him! How grateful I am that I can cite my experience with Dr. Thousand and his staff at North Florida Dental as among my blessings! He took such good care of my son and thoroughly explained procedure. We were made..."

"I had the pleasure of working with both Doctor Thousand and their newest addition Dr. John! It was a great experience. The doctors and all of the staff are great people especially Liz, she is a wonderful dental assistant, friendly and is most definitely on the ball and has everything ready to go..."

"Liz is a great dental assistant and front desk! I love her! She makes it a great experience! She is so good I dont think I have to brush my teeth anymore."


10 Saint Johns Medical Park Drive, Suite C, Saint Augustine, FL 32086

Phone: (904) 794-1000

Email: [email protected]

  • MON - FRI: 8:00 am - 5:00 pm
  • SAT - SUN: Closed
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3 Cypress Branch Way # 107, Palm Coast, FL 32164

Phone: (386) 986-1000

Email: [email protected]

  • MON - FRI: 8:00 am - 5:00 pm
  • SAT - SUN: Closed
Contact Us