IDEAL DENTAL SOUTH JACKSONVILLE PLLC
NPI 1255067179
Dentist in Jacksonville, FL

Q: What is Ideal Dental South Jacksonville PLLC's NPI number?

The NPI number for Ideal Dental South Jacksonville PLLC is 1255067179. It was assigned to this organization in the NPPES registry on July 25, 2022.

Q: What is Ideal Dental South Jacksonville PLLC's specialty?

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

Active since July 25, 2022

5753 BEACH BOULEVARD, UNIT #4, JACKSONVILLE, FL 32207(904) 441-1642(904) 877-3037 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2023, May 24, 2023, Dec 20, 2022 and 2 more (5 updates tracked since 2022).

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About Ideal Dental South Jacksonville Pllc NPPES

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

IDEAL DENTAL SOUTH JACKSONVILLE PLLC (NPI 1255067179) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since July 2022. The organization lists Matthew Doan, Owner, as its authorized official.

NPPES Registry Identity

NPI1255067179

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameIDEAL DENTAL SOUTH JACKSONVILLE PLLC

Location Address5753 BEACH BOULEVARD, UNIT #4Jacksonville, FL 32207

Mailing AddressPo Box 840925Dallas, TX 75284-0925 · (972) 361-0600

Phone(904) 441-1642

Fax(904) 877-3037

Organization SubpartNo

Authorized OfficialMatthew DoanOwner · (972) 331-8079

Enumeration DateJuly 25, 2022

Last NPPES UpdateOctober 4, 20235 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1255067179 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.

5753 BEACH BOULEVARD, Jacksonville, FL 32207

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

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 Ideal Dental South Jacksonville PLLC's NPI number?

The NPI number for Ideal Dental South Jacksonville PLLC is 1255067179. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Ideal Dental South Jacksonville PLLC located?

Ideal Dental South Jacksonville PLLC is located at 5753 Beach Boulevard Unit #4, Jacksonville, FL 32207. The listed phone number is (904) 441-1642.

What is Ideal Dental South Jacksonville PLLC's specialty?

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

What insurance does Ideal Dental South Jacksonville PLLC accept?

Health plans from Solstice Benefits and UnitedHealthcare list Ideal Dental South Jacksonville PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ideal Dental South Jacksonville PLLC was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.