PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC
NPI 1578113254
Dentist - General Practice in Jacksonville, FL

Q: What is Professional Dental Alliance Of Jacksonville San Jose, PLLC's specialty?

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

Active since September 16, 2019

9776 SAN JOSE BLVD STE 7, JACKSONVILLE, FL 32257(904) 201-3565 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Professional Dental Alliance Of Jacksonville San Jose, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC (NPI 1578113254) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since September 2019. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1578113254

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC

Location Address9776 SAN JOSE BLVD STE 7Jacksonville, FL 32257-5464

Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680

Phone(904) 201-3565

Organization SubpartNo

Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479

Enumeration DateSeptember 16, 2019

✔ NPI 1578113254 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.

9776 SAN JOSE BLVD STE 7, Jacksonville, FL 32257

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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, Solstice Benefits and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. AUSTIN RICHARD FOWLER DMD

Dentist (General Practice)

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL 32257

Duval County (904) 268-6751

DR. RONALD ELINOFF DDS

Dentist

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL 32257

Duval County (904) 268-6751

FLORIDA DENTAL ACQUISITIONS P.A

Dentist

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL 32257

Duval County (904) 268-6751

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 Professional Dental Alliance Of Jacksonville San Jose, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Jacksonville San Jose, PLLC is 1578113254. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Professional Dental Alliance Of Jacksonville San Jose, PLLC located?

Professional Dental Alliance Of Jacksonville San Jose, PLLC is located at 9776 San Jose Blvd Ste 7, Jacksonville, FL 32257. The listed phone number is (904) 201-3565.

What is Professional Dental Alliance Of Jacksonville San Jose, PLLC's specialty?

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

What insurance does Professional Dental Alliance Of Jacksonville San Jose, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Professional Dental Alliance Of Jacksonville San Jose, PLLC 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 Professional Dental Alliance Of Jacksonville San Jose, PLLC was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.