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PATRIOT FAMILY DENTAL PA
NPI 1982571584
Dentist - General Practice in Jacksonville, FL

Active since October 20, 2025
8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217(470) 336-2612 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patriot Family Dental Pa NPPES

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

PATRIOT FAMILY DENTAL PA (NPI 1982571584) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2025. The organization lists Kevin Christopher Wiman, President, as its authorized official.

NPPES Registry Identity

NPI1982571584
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePATRIOT FAMILY DENTAL PA
Location Address8823 GOODBYS EXECUTIVE DRJacksonville, FL 32217-4605
Mailing Address8823 Goodbys Executive DrJacksonville, FL 32217-4605 · (904) 731-0432 · Fax (904) 731-5755
Phone(470) 336-2612
Organization SubpartNo
Authorized OfficialKevin Christopher WimanPresident · (904) 731-0432
Enumeration DateOctober 20, 2025
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1982571584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

8823 GOODBYS EXECUTIVE DR, Jacksonville, FL 32217
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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 5

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

JOSEPH ROBERT BOULTER DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0432
JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0432
STEFAN NICHOLAS STROH DMD
Dentist
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 215-3182
DR. SYDNEY NICOLE BATES DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 762-8090
DR. KEVIN CHRISTOPHER WIMAN DMD
Dentist
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (470) 336-2612

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 Patriot Family Dental PA's NPI number?

The NPI number for Patriot Family Dental PA is 1982571584. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Patriot Family Dental PA located?

Patriot Family Dental PA is located at 8823 Goodbys Executive Dr, Jacksonville, FL 32217. The listed phone number is (470) 336-2612.

What is Patriot Family Dental PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Patriot Family Dental PA was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.