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PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC
NPI 1366072464
Dentist - General Practice in Jacksonville, FL

Active since January 17, 2020
14054 BEACH BLVD STE 10, JACKSONVILLE, FL 32250(904) 821-8330 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Professional Dental Alliance Of Jacksonville Beach, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC (NPI 1366072464) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since January 2020. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1366072464
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC
Location Address14054 BEACH BLVD STE 10Jacksonville, FL 32250-1596
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(904) 821-8330
Organization SubpartNo
Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479
Enumeration DateJanuary 17, 2020
✔ NPI 1366072464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

14054 BEACH BLVD STE 10, Jacksonville, FL 32250
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Reviews for PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MATTHEW J HENRY DDS PL
Clinic/Center (Dental)
14054 BEACH BLVD STE 10
JACKSONVILLE, FL 32250
Duval County (904) 821-8330

Frequently Asked Questions

What is PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1366072464, enumerated as an "organization" on January 17, 2020.

Where is the provider located?

The provider is located at 14054 BEACH BLVD STE 10 JACKSONVILLE, FL 32250 and the phone number is (904) 821-8330.

What is the provider's specialty?

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

What insurance does PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE BEACH, PLLC accept?

The provider might be accepting Accepts: Ambetter Health and Ambetter of Alabama. Please consult your insurance carrier or call the provider to verify.