1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Dentist
  6. NPI Profile

ATLANTIC DENTISTRY PA
NPI 1043792534
Dentist - General Practice in Jacksonville, FL

Active since August 31, 2018
13474 ATLANTIC BLVD STE 109, JACKSONVILLE, FL 32225(904) 647-1800(904) 647-1802 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlantic Dentistry Pa NPPES

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

ATLANTIC DENTISTRY PA (NPI 1043792534) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since August 2018. The organization lists Sara Bastos, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1043792534
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameATLANTIC DENTISTRY PA
Location Address13474 ATLANTIC BLVD STE 109Jacksonville, FL 32225-0100
Mailing Address13474 Atlantic Blvd Ste 109Jacksonville, FL 32225-0100 · (904) 647-1800 · Fax (904) 647-1802
Phone(904) 647-1800
Fax(904) 647-1802
Organization SubpartNo
Authorized OfficialSara BastosOffice Manager · (904) 647-1800
Enumeration DateAugust 31, 2018
✔ NPI 1043792534 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.
13474 ATLANTIC BLVD STE 109, Jacksonville, FL 32225
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

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 Atlantic Dentistry PA's NPI number?

The NPI number for Atlantic Dentistry PA is 1043792534. It was assigned to this organization in the NPPES registry on August 31, 2018.

Where is Atlantic Dentistry PA located?

Atlantic Dentistry PA is located at 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225. The listed phone number is (904) 647-1800.

What is Atlantic Dentistry PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Atlantic Dentistry PA was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.