DENTISTS OF SOUTHSIDE, PA
NPI 1508744137
Dentist - General Practice in Jacksonville, FL

Q: What is Dentists Of Southside, PA's NPI number?

The NPI number for Dentists Of Southside, PA is 1508744137. It was assigned to this organization in the NPPES registry on August 22, 2025.

Q: What is Dentists Of Southside, PA's specialty?

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

Active since August 22, 2025

4316 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216(904) 322-8754 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dentists Of Southside, Pa NPPES

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

DENTISTS OF SOUTHSIDE, PA (NPI 1508744137) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since August 2025. The organization lists Anthony Azadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1508744137

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTISTS OF SOUTHSIDE, PA

Location Address4316 SOUTHSIDE BLVDJacksonville, FL 32216-5474

Mailing AddressPo Box 660041Dallas, TX 75266-0041

Phone(904) 322-8754

Organization SubpartNo

Authorized OfficialAnthony AzadiOwner · (714) 845-8500

Enumeration DateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1508744137 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.

4316 SOUTHSIDE BLVD, Jacksonville, FL 32216

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Dentists Of Southside, PA's NPI number?

The NPI number for Dentists Of Southside, PA is 1508744137. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is Dentists Of Southside, PA located?

Dentists Of Southside, PA is located at 4316 Southside Blvd, Jacksonville, FL 32216. The listed phone number is (904) 322-8754.

What is Dentists Of Southside, PA's specialty?

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

What insurance does Dentists Of Southside, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Dentists Of Southside, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dentists Of Southside, PA was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.