BAY MEADOWS DENTAL CARE, PLLC
NPI 1366108649
Clinic/Center - Dental in Jacksonville, FL

Active since November 11, 2021
4487 BAYMEADOWS RD, JACKSONVILLE, FL 32217(904) 513-1031 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bay Meadows Dental Care, Pllc NPPES

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

BAY MEADOWS DENTAL CARE, PLLC (NPI 1366108649) is a healthcare organization registered as a dental in Jacksonville, Florida and active in the NPI registry since November 2021. The organization lists Peter Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1366108649
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBAY MEADOWS DENTAL CARE, PLLC
Location Address4487 BAYMEADOWS RDJacksonville, FL 32217-4716
Mailing Address4487 Baymeadows RdJacksonville, FL 32217-4716 · (904) 513-1031
Organization SubpartNo
Authorized OfficialPeter KellyOwner · (410) 410-3031
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
NPI 1366108649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4487 BAYMEADOWS RD, Jacksonville, FL 32217

Other Identifiers 2

OtherDN6191FL · State License
OtherDN19430FL · State License

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4487 BAYMEADOWS RD
JACKSONVILLE, FL 32217

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 Bay Meadows Dental Care, PLLC's NPI number?

The NPI number for Bay Meadows Dental Care, PLLC is 1366108649. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Bay Meadows Dental Care, PLLC located?

Bay Meadows Dental Care, PLLC is located at 4487 Baymeadows Rd, Jacksonville, FL 32217. The listed phone number is (904) 513-1031.

What is Bay Meadows Dental Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bay Meadows Dental Care, PLLC was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.