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

DR. LEO PRUSINSKI D.D.S.
NPI 1093782344
Dentist in Jacksonville, FL

Active since March 07, 2006
2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERVICES BLDG. H, JACKSONVILLE, FL 32212(904) 542-7200 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leo Prusinski D.d.s. NPPES

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

DR. LEO PRUSINSKI D.D.S. (NPI 1093782344) is an individual dentist in Jacksonville, Florida, licensed in Indiana (12008653A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1093782344
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LEO PRUSINSKICredential: D.D.S.
Location Address2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERVICES BLDG. HJacksonville, FL 32212-0140
Mailing Address2005 Knight Lane Navy Medicine Support Command, Attn: Medical Staff Services Bldg. HJacksonville, FL 32212-0140 · (904) 542-7200
Phone(904) 542-7200
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateFebruary 4, 2010
✔ NPI 1093782344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12008653A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND, Jacksonville, FL 32212
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Leo Gabriel Prusinski D.d.s.

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 Leo Prusinski's NPI number?

The NPI number for Leo Prusinski is 1093782344. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Dr. Leo Gabriel Prusinski D.D.S..

Where is Leo Prusinski located?

Leo Prusinski practices at 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Services Bldg. H, Jacksonville, FL 32212. The listed phone number is (904) 542-7200.

What is Leo Prusinski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Leo Prusinski was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.