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DYER PALM LEAF DENTAL LLC
NPI 1467394395
Dentist in Jacksonville, FL

Active since April 08, 2026
9770 OLD BAYMEADOWS RD, JACKSONVILLE, FL 32256(402) 505-6843 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dyer Palm Leaf Dental Llc NPPES

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

DYER PALM LEAF DENTAL LLC (NPI 1467394395), doing business as Emergency Dental Of Jacksonville, is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since April 2026. The organization lists Shayla Moore, Hr Admin, as its authorized official.

NPPES Registry Identity

NPI1467394395
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDYER PALM LEAF DENTAL LLC
Location Address9770 OLD BAYMEADOWS RDJacksonville, FL 32256-7909
Mailing Address9770 Old Baymeadows RdJacksonville, FL 32256-7909
Phone(402) 505-6843
Organization SubpartYes
Authorized OfficialShayla MooreHr Admin · (402) 505-6843
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1467394395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9770 OLD BAYMEADOWS RD, Jacksonville, FL 32256
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Other Names 1

Doing Business AsEmergency Dental Of Jacksonville

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 5

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

DR. JOHN D ZONGKER D.D.S.
Dentist (Endodontics)
9770 OLD BAYMEADOWS RD, STE. 113
JACKSONVILLE, FL 32256
Duval County (904) 636-8999
DR. SEIED ALI SAFI M.D.
Pediatrics
9770 OLD BAYMEADOWS RD, SUITE 109
JACKSONVILLE, FL 32256
Duval County (904) 564-2700
BAYMEADOWS PEDIATRIC CARE INC
Pediatrics
9770 OLD BAYMEADOWS RD, SUITE 127
JACKSONVILLE, FL 32256
Duval County (904) 518-5586
S. ALI SAFI, M.D. PEDIATRICS
Clinic/Center (Primary Care)
9770 OLD BAYMEADOWS RD, #109
JACKSONVILLE, FL 32256
Duval County (904) 564-2700
CRAIG THOMAS MYERS LMHC
Counselor (Mental Health)
9770 OLD BAYMEADOWS RD, SUITE 139
JACKSONVILLE, FL 32256
Duval County (904) 997-0096

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 Dyer Palm Leaf Dental LLC's NPI number?

The NPI number for Dyer Palm Leaf Dental LLC is 1467394395. It was assigned to this organization in the NPPES registry on April 8, 2026. The provider is doing business as Emergency Dental of Jacksonville.

Where is Dyer Palm Leaf Dental LLC located?

Dyer Palm Leaf Dental LLC is located at 9770 Old Baymeadows Rd, Jacksonville, FL 32256. The listed phone number is (402) 505-6843.

What is Dyer Palm Leaf Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dyer Palm Leaf Dental LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.