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JAX BEACHES FAMILY DENTISTRY, PA
NPI 1992114029
Dentist - General Practice in Neptune Beach, FL

Active since August 02, 2014
802 3RD ST, NEPTUNE BEACH, FL 32266(904) 247-0111 Get Directions Write a Review

NPPES record last updated: August 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jax Beaches Family Dentistry, Pa NPPES

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

JAX BEACHES FAMILY DENTISTRY, PA (NPI 1992114029) is a healthcare organization registered as a general practice in Neptune Beach, Florida and active in the NPI registry since August 2014. The organization lists Michelle Defelice Hucke, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1992114029
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAX BEACHES FAMILY DENTISTRY, PA
Location Address802 3RD STNeptune Beach, FL 32266-5018
Mailing Address802 3rd StNeptune Beach, FL 32266-5018 · (904) 247-0111
Phone(904) 247-0111
Organization SubpartNo
Authorized OfficialMichelle Defelice HuckePresident/ceo · (904) 501-9178
Enumeration DateAugust 2, 2014
✔ NPI 1992114029 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 · DN16151
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.
802 3RD ST, Neptune Beach, FL 32266
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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 2

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

FIRST COAST DENTAL GROUP, PA
Dentist (General Practice)
802 3RD ST
NEPTUNE BEACH, FL 32266
Duval County (904) 247-0111
COASTAL SLEEP AND AIRWAY SOLUTIONS LLC
Clinic/Center (Dental)
802 3RD ST
NEPTUNE BEACH, FL 32266
Duval County (850) 814-2587

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 Jax Beaches Family Dentistry, PA's NPI number?

The NPI number for Jax Beaches Family Dentistry, PA is 1992114029. It was assigned to this organization in the NPPES registry on August 2, 2014.

Where is Jax Beaches Family Dentistry, PA located?

Jax Beaches Family Dentistry, PA is located at 802 3rd St, Neptune Beach, FL 32266. The listed phone number is (904) 247-0111.

What is Jax Beaches Family Dentistry, 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 Jax Beaches Family Dentistry, PA was last updated on August 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.