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LARRY D. BURNSIDE D.D.S.,P.A.
NPI 1861563041
Dentist in Jacksonville, FL

Active since November 10, 2006
12708 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 268-0904(904) 268-0306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry D. Burnside D.d.s.,p.a. NPPES

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

LARRY D. BURNSIDE D.D.S.,P.A. (NPI 1861563041) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since November 2006. The organization lists Larry David Burnside, President, as its authorized official.

NPPES Registry Identity

NPI1861563041
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLARRY D. BURNSIDE D.D.S.,P.A.
Location Address12708 SAN JOSE BLVDJacksonville, FL 32223-2689
Mailing Address711 Creighton RdOrange Park, FL 32003-7008 · (904) 264-2759 · Fax (904) 268-0306
Phone(904) 268-0904
Fax(904) 268-0306
Organization SubpartNo
Authorized OfficialLarry David BurnsidePresident · (904) 268-0904
Enumeration DateNovember 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861563041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 7825
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12708 SAN JOSE BLVD, Jacksonville, FL 32223
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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

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.

REDIRECTING HOPE INC
Case Management
12708 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (804) 337-9048
DR. LARRY DAVID BURNSIDE DDS
Dentist
12708 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 268-0904

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 Larry D. Burnside D.D.S.,p.A.'s NPI number?

The NPI number for Larry D. Burnside D.D.S.,p.A. is 1861563041. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Larry D. Burnside D.D.S.,p.A. located?

Larry D. Burnside D.D.S.,p.A. is located at 12708 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 268-0904.

What is Larry D. Burnside D.D.S.,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Larry D. Burnside D.D.S.,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.