HAEUSSNER DENTAL GROUP
NPI 1174642375
Dentist - General Practice in Orange Park, FL

Q: What is Haeussner Dental Group's NPI number?

The NPI number for Haeussner Dental Group is 1174642375. It was assigned to this organization in the NPPES registry on March 28, 2007.

Q: What is Haeussner Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 28, 2007

1409 KINGSLEY AVE, BLDG. #11, ORANGE PARK, FL 32073(904) 264-2483(904) 264-0474 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Haeussner Dental Group NPPES

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

HAEUSSNER DENTAL GROUP (NPI 1174642375) is a healthcare organization registered as a general practice in Orange Park, Florida and active in the NPI registry since March 2007. The organization lists Theodore Adrian Haeussner, President, as its authorized official.

NPPES Registry Identity

NPI1174642375

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHAEUSSNER DENTAL GROUP

Location Address1409 KINGSLEY AVE, BLDG. #11Orange Park, FL 32073-4562

Mailing Address1409 Kingsley Ave, Bldg. #11Orange Park, FL 32073-4562 · (904) 264-2483 · Fax (904) 264-0474

Phone(904) 264-2483

Fax(904) 264-0474

Organization SubpartNo

Authorized OfficialTheodore Adrian HaeussnerPresident · (904) 264-2483

Enumeration DateMarch 28, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1174642375 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 6384

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.

1409 KINGSLEY AVE, Orange Park, FL 32073

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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

Other Providers at the Same Location NPPES 20

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

PETER PERRY P.A.-C

Physician Assistant (Medical)

1409 KINGSLEY AVE, SUITE 6A
ORANGE PARK, FL 32073

Clay County (904) 264-7517

ELIZABETH BLAKE CURTIS

Occupational Therapist (Hand)

1409 KINGSLEY AVE, SUITE 6B
ORANGE PARK, FL 32073

Clay County (904) 215-2422

LYNDSEY MCCOOL L.M.T.

Massage Therapist

1409 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (904) 348-5511

JAMES LAVIN PTA

Physical Therapy Assistant

1409 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (407) 497-3266

DR. BRIAN DAVID HAEUSSNER D.M.D.

Dentist (General Practice)

1409 KINGSLEY AVE, #11
ORANGE PARK, FL 32073

Clay County (904) 264-2483

ANNA-MARIE VENERACION-YUMUL, MD, PA

Psychiatry & Neurology (Psychiatry)

1409 KINGSLEY AVE, STE 9E
ORANGE PARK, FL 32073

Clay County (904) 215-4151

ORANGE PARK SPINE INSTITUTE LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1409 KINGSLEY AVE, SUITE 1D
ORANGE PARK, FL 32073

Clay County (904) 504-7767

LAKEISHA L WALKER OT

Occupational Therapist

1409 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (904) 269-4445

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 Haeussner Dental Group's NPI number?

The NPI number for Haeussner Dental Group is 1174642375. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Haeussner Dental Group located?

Haeussner Dental Group is located at 1409 Kingsley Ave Bldg. #11, Orange Park, FL 32073. The listed phone number is (904) 264-2483.

What is Haeussner Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Haeussner Dental Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.