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PROFESSIONAL DENTAL ALLIANCE OF FERNANDINA BEACH, PLLC
NPI 1740810951
Dentist - General Practice in Fernandina, FL

Active since January 16, 2020
2896 S 8TH ST, FERNANDINA, FL 32034(904) 261-6826 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Dental Alliance Of Fernandina Beach, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF FERNANDINA BEACH, PLLC (NPI 1740810951) is a healthcare organization registered as a general practice in Fernandina, Florida and active in the NPI registry since January 2020. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740810951
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF FERNANDINA BEACH, PLLC
Location Address2896 S 8TH STFernandina, FL 32034-4462
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(904) 261-6826
Organization SubpartNo
Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479
Enumeration DateJanuary 16, 2020
✔ NPI 1740810951 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.
2896 S 8TH ST, Fernandina, FL 32034
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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 ›

Other Providers at the Same Location NPPES 2

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

LAUREN TOMLINSON DMD
Dentist
2896 S 8TH ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 671-8364
AD34 FLORIDA P.A
Dentist
2896 S 8TH ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-6826

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 Fernandina Beach, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Fernandina Beach, PLLC is 1740810951. It was assigned to this organization in the NPPES registry on January 16, 2020.

Where is Professional Dental Alliance Of Fernandina Beach, PLLC located?

Professional Dental Alliance Of Fernandina Beach, PLLC is located at 2896 S 8th St, Fernandina, FL 32034. The listed phone number is (904) 261-6826.

What is Professional Dental Alliance Of Fernandina Beach, 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 Fernandina Beach, PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Professional Dental Alliance Of Fernandina Beach, 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 Fernandina Beach, PLLC was last updated on January 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.