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JACKSONVILLE DENTAL SPECIALISTS
NPI 1568915387
Dentist - Prosthodontics in Jacksonville, FL

Active since July 28, 2016
11512 LAKE MEAD AVE, STE. 532, JACKSONVILLE, FL 32256(904) 460-4201(904) 683-3914 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacksonville Dental Specialists NPPES

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

JACKSONVILLE DENTAL SPECIALISTS (NPI 1568915387) is a healthcare organization registered as a prosthodontics in Jacksonville, Florida and active in the NPI registry since July 2016. The organization lists Lydia Cuevas, Practice Coordinator, as its authorized official.

NPPES Registry Identity

NPI1568915387
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameJACKSONVILLE DENTAL SPECIALISTS
Location Address11512 LAKE MEAD AVE, STE. 532Jacksonville, FL 32256-9680
Mailing Address11512 Lake Mead Ave, Ste. 532Jacksonville, FL 32256-9680 · (904) 460-4201 · Fax (904) 683-3914
Phone(904) 460-4201
Fax(904) 683-3914
Organization SubpartYes
Authorized OfficialLydia CuevasPractice Coordinator · (904) 683-4781
Enumeration DateJuly 28, 2016
✔ NPI 1568915387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in FL · DN18280
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License DN16648 (FL)
11512 LAKE MEAD AVE, Jacksonville, FL 32256
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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

Other Providers at the Same Location NPPES 20

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

TANYA PARADISO DILMUTH ARNP
Nurse Practitioner (Adult Health)
11512 LAKE MEAD AVE, 513
JACKSONVILLE, FL 32256
Duval County (904) 402-8346
DR. TANYA E HUNTER MD
Family Medicine
11512 LAKE MEAD AVE, SUITE 521
JACKSONVILLE, FL 32256
Duval County (904) 807-9747
MRS. ELIZABETH JANE O'GRADY MS CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
MICHELLE KLINDTWORTH CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
JULIANN ABECASSIS
Acupuncturist
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477
JAMES E HARDY MD PLASTIC SURGERY LLC
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 996-0600
MELISSA AMERSON S.L.P.
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
CATHY L GOLDSTEIN AP
Acupuncturist
11512 LAKE MEAD AVE, # 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477

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 Jacksonville Dental Specialists's NPI number?

The NPI number for Jacksonville Dental Specialists is 1568915387. It was assigned to this organization in the NPPES registry on July 28, 2016.

Where is Jacksonville Dental Specialists located?

Jacksonville Dental Specialists is located at 11512 Lake Mead Ave Ste. 532, Jacksonville, FL 32256. The listed phone number is (904) 460-4201.

What is Jacksonville Dental Specialists's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jacksonville Dental Specialists was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.