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FIRE CREEK DENTAL
NPI 1265402119
Dentist - General Practice in Jacksonville, FL

Active since January 24, 2006
1510 WILLOW BRANCH AVE, JACKSONVILLE, FL 32205(904) 387-3535(904) 389-1208 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fire Creek Dental NPPES

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

FIRE CREEK DENTAL (NPI 1265402119) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since January 2006. The organization lists Barbara Shellman, Manager, as its authorized official.

NPPES Registry Identity

NPI1265402119
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFIRE CREEK DENTAL
Location Address1510 WILLOW BRANCH AVEJacksonville, FL 32205-8118
Mailing Address1510 Willow Branch AveJacksonville, FL 32205-8118 · (904) 387-3535 · Fax (904) 389-1208
Phone(904) 387-3535
Fax(904) 389-1208
Organization SubpartNo
Authorized OfficialBarbara ShellmanManager · (904) 387-3535
Enumeration DateJanuary 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265402119 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 · 2333
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.
1510 WILLOW BRANCH AVE, Jacksonville, FL 32205
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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

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 Fire Creek Dental's NPI number?

The NPI number for Fire Creek Dental is 1265402119. It was assigned to this organization in the NPPES registry on January 24, 2006.

Where is Fire Creek Dental located?

Fire Creek Dental is located at 1510 Willow Branch Ave, Jacksonville, FL 32205. The listed phone number is (904) 387-3535.

What is Fire Creek Dental'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 Fire Creek Dental 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 6 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.