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ADVANCED DENTAL CARE OF JACKSONVILLE PA
NPI 1093849895
Dentist in Jacksonville, FL

Active since March 15, 2007
4540 SOUTHSIDE BLVD, 1001, JACKSONVILLE, FL 32216(904) 725-4433 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dental Care Of Jacksonville Pa NPPES

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

ADVANCED DENTAL CARE OF JACKSONVILLE PA (NPI 1093849895) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since March 2007. The organization lists Mike Cole, Insurance Director, as its authorized official.

NPPES Registry Identity

NPI1093849895
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameADVANCED DENTAL CARE OF JACKSONVILLE PA
Location Address4540 SOUTHSIDE BLVD, 1001Jacksonville, FL 32216-5492
Mailing Address4540 Southside Blvd, 1001Jacksonville, FL 32216-5492
Phone(904) 725-4433
Organization SubpartNo
Authorized OfficialMike ColeInsurance Director · (727) 726-1611
Enumeration DateMarch 15, 2007
Last NPPES UpdateMay 17, 2010
✔ NPI 1093849895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4540 SOUTHSIDE BLVD, Jacksonville, FL 32216
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. STEPHANIE K HUMPHRIES L.M.E.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
AMANDO DENTAL CORPORATION
Preferred Provider Organization
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 642-2010
TOTAL BODY AESTHETICS, INC.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
Community/Behavioral Health
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 755-0646
JENNIFER M REAVES LMT
Massage Therapist
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 296-9545
MRS. LYNN H POWELL LMHC, CTRS
Counselor (Professional)
4540 SOUTHSIDE BLVD, SUITE 401
JACKSONVILLE, FL 32216
Duval County (904) 566-9256
DR. BROCK PHILIPS DMD
Dentist (General Practice)
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 642-2010
MEDICUSSX SPINE & JOINT, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 503-1065

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 Advanced Dental Care Of Jacksonville PA's NPI number?

The NPI number for Advanced Dental Care Of Jacksonville PA is 1093849895. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Advanced Dental Care Of Jacksonville PA located?

Advanced Dental Care Of Jacksonville PA is located at 4540 Southside Blvd 1001, Jacksonville, FL 32216. The listed phone number is (904) 725-4433.

What is Advanced Dental Care Of Jacksonville PA'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 Advanced Dental Care Of Jacksonville PA was last updated on May 17, 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.