CARLSON DENTAL GROUP PROVIDERS, LLC
NPI 1265867691
Dentist - General Practice in Jacksonville, FL

Active since September 04, 2013
13241 BARTRAM PARK BLVD, BLDG 1700, JACKSONVILLE, FL 32258(904) 262-8409(904) 262-4012 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlson Dental Group Providers, Llc NPPES

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

CARLSON DENTAL GROUP PROVIDERS, LLC (NPI 1265867691) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since September 2013. The organization lists Richard Dean Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1265867691
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARLSON DENTAL GROUP PROVIDERS, LLC
Location Address13241 BARTRAM PARK BLVD, BLDG 1700Jacksonville, FL 32258-5212
Mailing Address13241 Bartram Park Blvd, Bldg 1700Jacksonville, FL 32258-5212 · (904) 262-8409 · Fax (904) 262-4012
Fax(904) 262-4012
Organization SubpartNo
Authorized OfficialRichard Dean CarlsonOwner · (904) 262-8409
Enumeration DateSeptember 4, 2013
NPI 1265867691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in FL · DN19024 Licensed in FL · DN20275
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN18532 (FL)
13241 BARTRAM PARK BLVD, Jacksonville, FL 32258

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

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.

Chiropractor
13241 BARTRAM PARK BLVD, 509
JACKSONVILLE, FL 32258
Pediatrics
13241 BARTRAM PARK BLVD, SUITE # 209
JACKSONVILLE, FL 32258
Counselor (Mental Health)
13241 BARTRAM PARK BLVD, STE. 301
JACKSONVILLE, FL 32258
Physician Assistant
13241 BARTRAM PARK BLVD
JACKSONVILLE, FL 32258
Clinic/Center (Primary Care)
13241 BARTRAM PARK BLVD, SUITE 209
JACKSONVILLE, FL 32258
Dentist (General Practice)
13241 BARTRAM PARK BLVD, SUITE # 401
JACKSONVILLE, FL 32258
Ophthalmology
13241 BARTRAM PARK BLVD, SUITE 1505
JACKSONVILLE, FL 32258
Counselor (Mental Health)
13241 BARTRAM PARK BLVD, SUITE 301
JACKSONVILLE, FL 32258

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 Carlson Dental Group Providers, LLC's NPI number?

The NPI number for Carlson Dental Group Providers, LLC is 1265867691. It was assigned to this organization in the NPPES registry on September 4, 2013.

Where is Carlson Dental Group Providers, LLC located?

Carlson Dental Group Providers, LLC is located at 13241 Bartram Park Blvd Bldg 1700, Jacksonville, FL 32258. The listed phone number is (904) 262-8409.

What is Carlson Dental Group Providers, LLC'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 Carlson Dental Group Providers, LLC was last updated on September 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.