JACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC
NPI 1073024006
Clinic/Center - Dental in Jacksonville, FL

Q: What is Jacksonville Family Dentistry At Southside, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 17, 2017

8101 SOUTHSIDE BLVD STE 8, JACKSONVILLE, FL 32256(904) 641-2655 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacksonville Family Dentistry At Southside, Inc NPPES

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

JACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC (NPI 1073024006) is a healthcare organization registered as a dental in Jacksonville, Florida and active in the NPI registry since October 2017. The organization lists Bryan Keith Blankenship, President, as its authorized official.

NPPES Registry Identity

NPI1073024006

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameJACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC

Location Address8101 SOUTHSIDE BLVD STE 8Jacksonville, FL 32256-8005

Mailing Address100 Fairway Park Blvd Unit 512Ponte Vedra Beach, FL 32082-2667 · (904) 210-5348

Phone(904) 641-2655

Organization SubpartNo

Authorized OfficialBryan Keith BlankenshipPresident · (904) 210-5348

Enumeration DateOctober 17, 2017

✔ NPI 1073024006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in FL · 16941

8101 SOUTHSIDE BLVD STE 8, Jacksonville, FL 32256

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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 Jacksonville Family Dentistry At Southside, Inc's NPI number?

The NPI number for Jacksonville Family Dentistry At Southside, Inc is 1073024006. It was assigned to this organization in the NPPES registry on October 17, 2017.

Where is Jacksonville Family Dentistry At Southside, Inc located?

Jacksonville Family Dentistry At Southside, Inc is located at 8101 Southside Blvd Ste 8, Jacksonville, FL 32256. The listed phone number is (904) 641-2655.

What is Jacksonville Family Dentistry At Southside, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Family Dentistry At Southside, Inc was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.