SUSAN PRATER KUDLATS, D.M.D, P.A.
NPI 1487123006
Dentist - General Practice in Jacksonville, FL

Q: What is Susan Prater Kudlats, D.M.D, P.A.'s NPI number?

The NPI number for Susan Prater Kudlats, D.M.D, P.A. is 1487123006. It was assigned to this organization in the NPPES registry on November 14, 2018. The provider is doing business as Kernan Family Dental Care.

Q: What is Susan Prater Kudlats, D.M.D, P.A.'s specialty?

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

Active since November 14, 2018

12620 BEACH BLVD STE 18, JACKSONVILLE, FL 32246(404) 509-1292 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Susan Prater Kudlats, D.m.d, P.a. NPPES

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

SUSAN PRATER KUDLATS, D.M.D, P.A. (NPI 1487123006), doing business as Kernan Family Dental Care, is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since November 2018. The organization lists Susan Prater, President, as its authorized official.

NPPES Registry Identity

NPI1487123006

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSUSAN PRATER KUDLATS, D.M.D, P.A.

Location Address12620 BEACH BLVD STE 18Jacksonville, FL 32246-7130

Mailing Address12620 Beach Blvd Ste 18Jacksonville, FL 32246-7130 · (404) 509-1292

Phone(404) 509-1292

Organization SubpartNo

Authorized OfficialSusan PraterPresident · (904) 620-0404

Enumeration DateNovember 14, 2018

✔ NPI 1487123006 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.

12620 BEACH BLVD STE 18, Jacksonville, FL 32246

Open in Google Maps ↗

Other Names 1

Doing Business AsKernan Family Dental Care

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

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 Susan Prater Kudlats, D.M.D, P.A.'s NPI number?

The NPI number for Susan Prater Kudlats, D.M.D, P.A. is 1487123006. It was assigned to this organization in the NPPES registry on November 14, 2018. The provider is doing business as Kernan Family Dental Care.

Where is Susan Prater Kudlats, D.M.D, P.A. located?

Susan Prater Kudlats, D.M.D, P.A. is located at 12620 Beach Blvd Ste 18, Jacksonville, FL 32246. The listed phone number is (404) 509-1292.

What is Susan Prater Kudlats, D.M.D, P.A.'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 Susan Prater Kudlats, D.M.D, P.A. was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.