ADVANCED DENTAL SERVICES OF JACKSONVILLE
NPI 1083969687
Dentist - General Practice in Jacksonville, FL

Active since July 19, 2012
9109 BAYMEADOWS RD, SUITE 4, JACKSONVILLE, FL 32256(904) 731-0311(904) 731-0312 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Dental Services Of Jacksonville NPPES

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

ADVANCED DENTAL SERVICES OF JACKSONVILLE (NPI 1083969687) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since July 2012. The organization lists Kami Rudolph, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1083969687
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAPLES, NEAL AND WINTER
Location Address9109 BAYMEADOWS RD, SUITE 4Jacksonville, FL 32256-2014
Mailing Address9109 Baymeadows Rd, Suite 4Jacksonville, FL 32256-2014 · (904) 731-0311 · Fax (904) 731-0312
Fax(904) 731-0312
Organization SubpartNo
Authorized OfficialKami RudolphPractice Administrator · (904) 285-8407
Enumeration DateJuly 19, 2012
NPI 1083969687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 18277
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.

9109 BAYMEADOWS RD, Jacksonville, FL 32256

Other Names 1

Doing Business AsAdvanced Dental Services Of Jacksonville

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

Reviews for ADVANCED DENTAL SERVICES OF JACKSONVILLE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
9109 BAYMEADOWS RD, SUITE 4
JACKSONVILLE, FL 32256
Dentist (Endodontics)
9109 BAYMEADOWS RD, SUITE 2
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083969687, enumerated as an "organization" on July 19, 2012.

The provider is located at 9109 BAYMEADOWS RD SUITE 4 JACKSONVILLE, FL 32256 and the phone number is (904) 731-0311.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.