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RIVERSIDE DENTAL
NPI 1407984958
Dentist - General Practice in Jacksonville, FL

Active since February 28, 2007
1061 RIVERSIDE AVE, SUITE 101, JACKSONVILLE, FL 32204(904) 355-5531(904) 791-9239 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Dental NPPES

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

RIVERSIDE DENTAL (NPI 1407984958) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since February 2007. The organization lists Michael D. Spencer, President, as its authorized official.

NPPES Registry Identity

NPI1407984958
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL D. SPENCER, DDS, LLC
Location Address1061 RIVERSIDE AVE, SUITE 101Jacksonville, FL 32204-4152
Mailing Address1061 Riverside Ave, Suite 101Jacksonville, FL 32204-4152 · (904) 355-5531 · Fax (904) 791-9239
Phone(904) 355-5531
Fax(904) 791-9239
Organization SubpartNo
Authorized OfficialMichael D. SpencerPresident · (904) 355-5531
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 23, 2008
✔ NPI 1407984958 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 · 8985
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.
1061 RIVERSIDE AVE, Jacksonville, FL 32204
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Other Names 1

Doing Business AsRiverside Dental

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 3

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

DR. MICHAEL DARWIN SPENCER D.D.S.
Dentist (General Practice)
1061 RIVERSIDE AVE, SUITE 101
JACKSONVILLE, FL 32204
Duval County (904) 355-5531
DR. ANDREW WILLIAM MAPLES D.M.D.
Dentist (General Practice)
1061 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 355-5531
DR. STEVEN C. FERBER DDS
Dentist (General Practice)
1061 RIVERSIDE AVE, SUITE 101
JACKSONVILLE, FL 32204
Duval County (904) 355-5543

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 Michael D. Spencer, Dds, LLC's NPI number?

The NPI number for Michael D. Spencer, Dds, LLC is 1407984958. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Riverside Dental.

Where is Michael D. Spencer, Dds, LLC located?

Michael D. Spencer, Dds, LLC is located at 1061 Riverside Ave Suite 101, Jacksonville, FL 32204. The listed phone number is (904) 355-5531.

What is Michael D. Spencer, Dds, LLC'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 Michael D. Spencer, Dds, LLC was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.