LARROC DENTAL
NPI 1295231819
Dentist - General Practice in Jacksonville, FL

Active since April 03, 2018
7768 OZARK DR, JACKSONVILLE, FL 32256(904) 442-6000(904) 503-1440 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larroc Dental NPPES

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

LARROC DENTAL (NPI 1295231819) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since April 2018. The organization lists Anthony Corral, Owner, as its authorized official.

NPPES Registry Identity

NPI1295231819
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLARROC DENTAL
Location Address7768 OZARK DRJacksonville, FL 32256-5839
Mailing Address7768 Ozark DrJacksonville, FL 32256-5839 · (904) 442-6000 · Fax (904) 503-1440
Fax(904) 503-1440
Organization SubpartNo
Authorized OfficialAnthony CorralOwner · (904) 442-6000
Enumeration DateApril 3, 2018
NPI 1295231819 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 · DN17063 Licensed in FL · DN2788 Licensed in FL · DN14472
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 ListedDental HygienistTaxonomy 124Q00000X · License DH23171 (FL), DH9959 (FL), DH24089 (FL)
7768 OZARK DR, Jacksonville, FL 32256

Other Identifiers 3

Medicaid1275513434FL
Medicaid1730600958FL
Medicaid1992831341FL

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

The NPI number assigned to this healthcare provider is 1295231819, enumerated as an "organization" on April 03, 2018.

The provider is located at 7768 OZARK DR JACKSONVILLE, FL 32256 and the phone number is (904) 442-6000.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.