FIRST COAST DENTAL GROUP, PA
NPI 1336495274
Dentist - General Practice in Neptune Beach, FL

Active since July 30, 2012
802 3RD ST, NEPTUNE BEACH, FL 32266(904) 247-0111 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About First Coast Dental Group, Pa NPPES

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

FIRST COAST DENTAL GROUP, PA (NPI 1336495274) is a healthcare organization registered as a general practice in Neptune Beach, Florida and active in the NPI registry since July 2012. The organization lists Anthony Ramiro Corral, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336495274
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFIRST COAST DENTAL GROUP, PA
Location Address802 3RD STNeptune Beach, FL 32266-5018
Mailing Address802 3rd StNeptune Beach, FL 32266-5018 · (904) 247-0111
Organization SubpartNo
Authorized OfficialAnthony Ramiro CorralCeo · (904) 247-0111
Enumeration DateJuly 30, 2012
NPI 1336495274 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 · DN17063
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.
802 3RD ST, Neptune Beach, FL 32266

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

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
802 3RD ST
NEPTUNE BEACH, FL 32266
Dentist (General Practice)
802 3RD ST
NEPTUNE BEACH, FL 32266

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 First Coast Dental Group, PA's NPI number?

The NPI number for First Coast Dental Group, PA is 1336495274. It was assigned to this organization in the NPPES registry on July 30, 2012.

Where is First Coast Dental Group, PA located?

First Coast Dental Group, PA is located at 802 3rd St, Neptune Beach, FL 32266. The listed phone number is (904) 247-0111.

What is First Coast Dental Group, PA'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 First Coast Dental Group, PA was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.