DENTAL PLACE OF JAX
NPI 1932540390
Dentist in Jacksonville, FL

Q: What is Dental Place Of Jax's NPI number?

The NPI number for Dental Place Of Jax is 1932540390. It was assigned to this organization in the NPPES registry on July 15, 2013.

Q: What is Dental Place Of Jax's specialty?

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

Active since July 15, 2013

5800 BEACH BLVD, #A102, JACKSONVILLE, FL 32207(904) 860-3765 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dental Place Of Jax NPPES

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

DENTAL PLACE OF JAX (NPI 1932540390) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since July 2013. The organization lists Nicole M Bunch, Owner, as its authorized official.

NPPES Registry Identity

NPI1932540390

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDENTAL PLACE OF JAX

Location Address5800 BEACH BLVD, #A102Jacksonville, FL 32207-5120

Mailing Address5800 Beach Blvd, #a102Jacksonville, FL 32207-5120 · (904) 860-3765

Phone(904) 860-3765

Organization SubpartNo

Authorized OfficialNicole M BunchOwner · (904) 563-3589

Enumeration DateJuly 15, 2013

✔ NPI 1932540390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN17326

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.

5800 BEACH BLVD, Jacksonville, FL 32207

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Other Identifiers 1

Medicaid76637200FL

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

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

VALENCIA ANIKA ROGERS REGISTERED NURSE

Registered Nurse (Home Health)

5800 BEACH BLVD, STE 203
JACKSONVILLE, FL 32207

Duval County (904) 655-7523

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 Dental Place Of Jax's NPI number?

The NPI number for Dental Place Of Jax is 1932540390. It was assigned to this organization in the NPPES registry on July 15, 2013.

Where is Dental Place Of Jax located?

Dental Place Of Jax is located at 5800 Beach Blvd #a102, Jacksonville, FL 32207. The listed phone number is (904) 860-3765.

What is Dental Place Of Jax'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 Dental Place Of Jax was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.