1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Dentist
  6. NPI Profile

DR. CORDARYL LEE WHITEHEAD
NPI 1952089609
Dentist - General Practice in Jacksonville, FL

Active since July 11, 2023
12517 YELLOW BLUFF RD, JACKSONVILLE, FL 32226(904) 204-7496 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Jul 11, 2023 (2 updates tracked since 2023).

About Dr. Cordaryl Lee Whitehead NPPES

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

DR. CORDARYL LEE WHITEHEAD (NPI 1952089609) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN28351) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1952089609
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CORDARYL LEE WHITEHEAD
Location Address12517 YELLOW BLUFF RDJacksonville, FL 32226-3809
Mailing Address9743 Watershed Dr SJacksonville, FL 32220-0903 · (205) 496-2310
Phone(904) 204-7496
Sole ProprietorYes
Enumeration DateJuly 11, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1952089609 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 · DN28351
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.
12517 YELLOW BLUFF RD, Jacksonville, FL 32226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.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.

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Dentist (General Practice)
12517 YELLOW BLUFF RD
JACKSONVILLE, FL 32226
Duval County (904) 204-7496
LORRAINE POLITE CLARK DMD
Dentist (General Practice)
12517 YELLOW BLUFF RD
JACKSONVILLE, FL 32226
Duval County (904) 204-7496

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 Cordaryl Whitehead's NPI number?

The NPI number for Cordaryl Whitehead is 1952089609. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Cordaryl Whitehead located?

Cordaryl Whitehead practices at 12517 Yellow Bluff Rd, Jacksonville, FL 32226. The listed phone number is (904) 204-7496.

What is Cordaryl Whitehead's specialty?

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

What insurance does Cordaryl Whitehead accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 11 other insurers list Cordaryl Whitehead 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 Cordaryl Whitehead was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.