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

Q: What is Professional Dental Alliance Of Jacksonville Beach, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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: August 09, 2026.

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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.

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 ›

Other Providers at the Same Location NPPES

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

MATTHEW J HENRY DDS PL

Clinic/Center (Dental)

14054 BEACH BLVD STE 10
JACKSONVILLE, FL 32250

Duval County (904) 821-8330

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 Professional Dental Alliance Of Jacksonville Beach, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Jacksonville Beach, PLLC is 1366072464. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Professional Dental Alliance Of Jacksonville Beach, PLLC located?

Professional Dental Alliance Of Jacksonville Beach, PLLC is located at 14054 Beach Blvd Ste 10, Jacksonville, FL 32250. The listed phone number is (904) 821-8330.

What is Professional Dental Alliance Of Jacksonville Beach, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Professional Dental Alliance Of Jacksonville Beach, PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Professional Dental Alliance Of Jacksonville Beach, PLLC 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 Professional Dental Alliance Of Jacksonville Beach, PLLC was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.