DR. DAVID WILLIAM DONELSON DMD
NPI 1932337243
Dentist - General Practice in Jacksonville, FL

Active since June 24, 2009Opted out of Medicare · through Sep 14, 2027
456 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211(904) 721-1400 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David William Donelson Dmd NPPES

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

DR. DAVID WILLIAM DONELSON DMD (NPI 1932337243) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN18943) and active in the NPI registry since June 2009. He has opted out of Medicare through September 14, 2027.

NPPES Registry Identity

NPI1932337243
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID WILLIAM DONELSONCredential: DMD
Location Address456 UNIVERSITY BLVD NJacksonville, FL 32211-6954
Mailing Address1661 Riverside Ave, Apt 202Jacksonville, FL 32204-4000 · (904) 379-2055
Sole ProprietorYes
Enumeration DateJune 24, 2009
Last NPPES UpdateApril 20, 2010
NPI 1932337243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN18943
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.
456 UNIVERSITY BLVD N, Jacksonville, FL 32211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David William Donelson Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 14, 2021 through September 14, 2027.

Opt-Out Effective DateSeptember 14, 2021
Opt-Out In Effect ThroughSeptember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Dentist
456 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211
Dentist
456 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211
Dentist (General Practice)
456 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211
Clinic/Center (Dental)
456 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211

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 David Donelson's NPI number?

The NPI number for David Donelson is 1932337243. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is David Donelson located?

David Donelson practices at 456 University Blvd N, Jacksonville, FL 32211. The listed phone number is (904) 721-1400.

What is David Donelson's specialty?

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

Is David Donelson enrolled in Medicare?

No. David Donelson has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does David Donelson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list David Donelson 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 David Donelson was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.