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JULINGTON CREEK FAMILY DENTISTRY, PA
NPI 1194831230
Dentist - General Practice in Jacksonville, FL

Active since August 22, 2006
465 STATE ROAD 13 STE 9, JACKSONVILLE, FL 32259(904) 230-2931(904) 230-1627 Get Directions Write a Review

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

About Julington Creek Family Dentistry, Pa NPPES

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

JULINGTON CREEK FAMILY DENTISTRY, PA (NPI 1194831230) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since August 2006. The organization lists Susan Lynn Amatrudi, President, as its authorized official.

NPPES Registry Identity

NPI1194831230
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJULINGTON CREEK FAMILY DENTISTRY, PA
Location Address465 STATE ROAD 13 STE 9Jacksonville, FL 32259-3858
Mailing Address465 State Road 13 Ste 9Jacksonville, FL 32259-3858 · (904) 230-2931 · Fax (904) 230-1627
Phone(904) 230-2931
Fax(904) 230-1627
Organization SubpartNo
Authorized OfficialSusan Lynn AmatrudiPresident · (904) 230-2961
Enumeration DateAugust 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194831230 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 · DN13430
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.
465 STATE ROAD 13 STE 9, Jacksonville, FL 32259
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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

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 Julington Creek Family Dentistry, PA's NPI number?

The NPI number for Julington Creek Family Dentistry, PA is 1194831230. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Julington Creek Family Dentistry, PA located?

Julington Creek Family Dentistry, PA is located at 465 State Road 13 Ste 9, Jacksonville, FL 32259. The listed phone number is (904) 230-2931.

What is Julington Creek Family Dentistry, PA'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 Julington Creek Family Dentistry, PA 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.