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SOUTHSIDE DENTAL AT TINSELTOWN
NPI 1275739237
Preferred Provider Organization in Jacksonville, FL

Active since June 26, 2007
4540 SOUTHSIDE BLVD, SUITE 801, JACKSONVILLE, FL 32216(904) 642-2010(904) 642-8282 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Dental At Tinseltown NPPES

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

SOUTHSIDE DENTAL AT TINSELTOWN (NPI 1275739237) is a healthcare organization registered as a preferred provider organization in Jacksonville, Florida and active in the NPI registry since June 2007. The organization lists Crystal L Less, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275739237
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameAMANDO DENTAL CORPORATION
Location Address4540 SOUTHSIDE BLVD, SUITE 801Jacksonville, FL 32216-5492
Mailing Address3545-1 St. Johns Bluff Rd. S., Suite 352Jacksonville, FL 32224 · (904) 998-7000 · Fax (904) 998-7702
Phone(904) 642-2010
Fax(904) 642-8282
Organization SubpartNo
Authorized OfficialCrystal L LessVp Of Operations · (904) 998-7000
Enumeration DateJune 26, 2007
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1275739237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in FL · DN15716
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4540 SOUTHSIDE BLVD, Jacksonville, FL 32216
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Other Names 1

Doing Business AsSouthside Dental At Tinseltown

Accepted Insurance

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

Other Providers at the Same Location NPPES 8

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

MS. STEPHANIE K HUMPHRIES L.M.E.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
ADVANCED DENTAL CARE OF JACKSONVILLE PA
Dentist
4540 SOUTHSIDE BLVD, 1001
JACKSONVILLE, FL 32216
Duval County (904) 725-4433
TOTAL BODY AESTHETICS, INC.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
Community/Behavioral Health
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 755-0646
JENNIFER M REAVES LMT
Massage Therapist
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 296-9545
MRS. LYNN H POWELL LMHC, CTRS
Counselor (Professional)
4540 SOUTHSIDE BLVD, SUITE 401
JACKSONVILLE, FL 32216
Duval County (904) 566-9256
DR. BROCK PHILIPS DMD
Dentist (General Practice)
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 642-2010
MEDICUSSX SPINE & JOINT, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 503-1065

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 Amando Dental Corporation's NPI number?

The NPI number for Amando Dental Corporation is 1275739237. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Southside Dental At Tinseltown.

Where is Amando Dental Corporation located?

Amando Dental Corporation is located at 4540 Southside Blvd Suite 801, Jacksonville, FL 32216. The listed phone number is (904) 642-2010.

What is Amando Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Amando Dental Corporation accept?

Health plans from Solstice Benefits and UnitedHealthcare list Amando Dental Corporation 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 Amando Dental Corporation was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.