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ASPEN DENTAL
NPI 1003287814
Dentist - General Practice in Jacksonville, FL

Active since October 20, 2015
8440 BLANDING BLVD, JACKSONVILLE, FL 32244(904) 525-8041(315) 410-5531 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aspen Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASPEN DENTAL (NPI 1003287814) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2015. The organization lists Kim Van Camp, Provider Relations Specialist, as its authorized official.

NPPES Registry Identity

NPI1003287814
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH JACKSONVILLE DENTAL PLLC
Location Address8440 BLANDING BLVDJacksonville, FL 32244
Mailing Address8440 Blanding BlvdJacksonville, FL 32244 · (904) 525-8041 · Fax (315) 410-5531
Phone(904) 525-8041
Fax(315) 410-5531
Organization SubpartNo
Authorized OfficialKim Van CampProvider Relations Specialist · (315) 454-6000
Enumeration DateOctober 20, 2015
✔ NPI 1003287814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8440 BLANDING BLVD, Jacksonville, FL 32244
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Other Names 1

Doing Business AsAspen Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAVIER MALDONADO DDS
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 717-7185
RAJVI DOSHI
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 660-0031
PRUTHUL PATEL DMD
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (718) 908-3536
DR. SOLOMIYA PEREGOVSKA
Dentist (General Practice)
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 525-8041
DR. BLAIR TIBURCIO SIMEON DMD
Dentist (General Practice)
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 525-8041
DR. SYED-OMAIR ALI DDS
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 525-8041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Jacksonville Dental PLLC's NPI number?

The NPI number for South Jacksonville Dental PLLC is 1003287814. It was assigned to this organization in the NPPES registry on October 20, 2015. The provider is doing business as Aspen Dental.

Where is South Jacksonville Dental PLLC located?

South Jacksonville Dental PLLC is located at 8440 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (904) 525-8041.

What is South Jacksonville Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does South Jacksonville Dental PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list South Jacksonville Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Jacksonville Dental PLLC was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.