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MYERS PEDIATRIC DENTISTRY PA
NPI 1982619425
Dentist - Pediatric Dentistry in Middleburg, FL

Active since July 31, 2006
3200 OLD JENNINGS RD, MIDDLEBURG, FL 32068(904) 505-2010(904) 505-2011 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myers Pediatric Dentistry Pa NPPES

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

MYERS PEDIATRIC DENTISTRY PA (NPI 1982619425) is a healthcare organization registered as a pediatric dentistry in Middleburg, Florida and active in the NPI registry since July 2006. The organization lists Gary Myers, President, as its authorized official.

NPPES Registry Identity

NPI1982619425
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMYERS PEDIATRIC DENTISTRY PA
Location Address3200 OLD JENNINGS RDMiddleburg, FL 32068-3414
Mailing Address3200 Old Jennings RdMiddleburg, FL 32068-3414 · (904) 505-2010 · Fax (904) 505-2011
Phone(904) 505-2010
Fax(904) 505-2011
Organization SubpartNo
Authorized OfficialGary MyersPresident · (904) 505-2010
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 17, 2010
✔ NPI 1982619425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
3200 OLD JENNINGS RD, Middleburg, FL 32068
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Other Identifiers 2

Other1770740FL · United Concordia
Other85410Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

BRANDON CHIN DMD
Dentist (General Practice)
3200 OLD JENNINGS RD
MIDDLEBURG, FL 32068
Clay County (904) 505-2010
DR. KRISTIN S HODGSON DMD
Dentist
3200 OLD JENNINGS RD
MIDDLEBURG, FL 32068
Clay County (904) 505-2010

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 Myers Pediatric Dentistry PA's NPI number?

The NPI number for Myers Pediatric Dentistry PA is 1982619425. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Myers Pediatric Dentistry PA located?

Myers Pediatric Dentistry PA is located at 3200 Old Jennings Rd, Middleburg, FL 32068. The listed phone number is (904) 505-2010.

What is Myers Pediatric Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Myers Pediatric Dentistry PA was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.