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JACQUELINE MARIE FETNER DMD
NPI 1932554342
Dentist in Gainesville, FL

Active since May 04, 2016PECOS Enrolled
1395 CENTER DR # D1-17, GAINESVILLE, FL 32610(352) 273-7643 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Mar 20, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Jacqueline Marie Fetner Dmd NPPES

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

JACQUELINE MARIE FETNER DMD (NPI 1932554342) is an individual dentist in Gainesville, Florida, licensed in Florida (DN21960) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1932554342
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJACQUELINE MARIE FETNERCredential: DMD
Location Address1395 CENTER DR # D1-17Gainesville, FL 32610-1201
Mailing Address1470 Avondale AveJacksonville, FL 32205-7823 · (941) 726-2666
Phone(352) 273-7643
Sole ProprietorNo
Enumeration DateMay 4, 2016
Last NPPES UpdateJuly 1, 20205 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1932554342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21960
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.
1395 CENTER DR # D1-17, Gainesville, FL 32610
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Secondary Practice Location 1

Location 113947 Beach Blvd Ste 106Jacksonville, FL 32224-1201 · Phone (941) 726-2266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Fetner Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. JEFFREY PAUL WESTRA DDS
Dentist
1395 CENTER DR # D1-17
GAINESVILLE, FL 32610
Alachua County (970) 412-5832
DR. JACKLYN K MITCHELL DMD, MPH
Dentist
1395 CENTER DR # D1-17
GAINESVILLE, FL 32610
Alachua County (352) 273-5430
SHAHD NAWARI
Dentist (General Practice)
1395 CENTER DR # D1-17
GAINESVILLE, FL 32610
Alachua County (352) 273-5430

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 Jacqueline Fetner's NPI number?

The NPI number for Jacqueline Fetner is 1932554342. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Jacqueline Fetner located?

Jacqueline Fetner practices at 1395 Center Dr # D1-17, Gainesville, FL 32610. The listed phone number is (352) 273-7643.

What is Jacqueline Fetner's specialty?

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

Is Jacqueline Fetner enrolled in Medicare?

Yes. Jacqueline Fetner is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Fetner accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 7 other insurers list Jacqueline Fetner 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 Jacqueline Fetner was last updated on July 1, 2020. 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.