DR. BRENT DANIEL ZASTROW DMD
NPI 1417394586
Dentist - General Practice in Jacksonville, FL

Q: What is Brent Zastrow's NPI number?

The NPI number for Brent Zastrow is 1417394586. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Brent Zastrow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Zastrow was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 30, 2013

H2005 KNIGHT LANE, JACKSONVILLE, FL 32212(904) 542-7200 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brent Daniel Zastrow Dmd NPPES

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

DR. BRENT DANIEL ZASTROW DMD (NPI 1417394586) is an individual general practice provider in Jacksonville, Florida, licensed in Kentucky (9316) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1417394586

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRENT DANIEL ZASTROWCredential: DMD

Location AddressH2005 KNIGHT LANEJacksonville, FL 32212-0140

Mailing Address2005 Knight Lane, Bldg HJacksonville, FL 32212-0140

Phone(904) 542-7200

Sole ProprietorNo

Enumeration DateMay 30, 2013

✔ NPI 1417394586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 9316

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.

H2005 KNIGHT LANE, Jacksonville, FL 32212

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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 Brent Zastrow's NPI number?

The NPI number for Brent Zastrow is 1417394586. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Brent Zastrow located?

Brent Zastrow practices at H2005 Knight Lane, Jacksonville, FL 32212. The listed phone number is (904) 542-7200.

What is Brent Zastrow'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 Brent Zastrow was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.