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

DR. JILLIAN KIMBERLY MEDURE D.M.D
NPI 1164629416
Dentist in Jacksonville, FL

Active since June 29, 2007
3630 SAINT JOHNS AVE, JACKSONVILLE, FL 32205(904) 387-0501(904) 387-3505 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jillian Kimberly Medure D.m.d NPPES

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

DR. JILLIAN KIMBERLY MEDURE D.M.D (NPI 1164629416) is an individual dentist in Jacksonville, Florida, licensed in New York (052197) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164629416
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JILLIAN KIMBERLY MEDURECredential: D.M.D
Location Address3630 SAINT JOHNS AVEJacksonville, FL 32205-9065
Mailing Address3630 Saint Johns AveJacksonville, FL 32205-9065 · (904) 387-0501 · Fax (904) 387-3505
Phone(904) 387-0501
Fax(904) 387-3505
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 6, 2014
✔ NPI 1164629416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 052197
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.
3630 SAINT JOHNS AVE, Jacksonville, FL 32205
Open in Google Maps ↗

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 Jillian Medure's NPI number?

The NPI number for Jillian Medure is 1164629416. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Jillian Medure located?

Jillian Medure practices at 3630 Saint Johns Ave, Jacksonville, FL 32205. The listed phone number is (904) 387-0501.

What is Jillian Medure'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 Jillian Medure was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.