DR. KENNETH A MERTZ JR. (NPI# 1003882184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003882184 |
Entity Type | Individual |
Full Name | DR. KENNETH A MERTZ JR. |
Credential | DMD |
Practice Address |
1722 University Blvd. Jacksonville FL 32216 |
Mailing Address |
900 University Blvd N Mc - 75 Jacksonville FL 32211-9230 |
Practice Telephone | 9042531240 |
Practice Fax Number | 9047276548 |
Mailing Telephone | 9042532062 |
Mailing Fax Number | 9042531942 |
Enumeration Date | 2006-02-27 |
Last Update Date | 2013-02-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN15901 | FL | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
DN15901 | FL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 0757179-00 | 05 | |
FL | 075717900 | 05 | |
GA | 801488195A | 05 |
Street Address |
1722 UNIVERSITY BLVD. |
City | JACKSONVILLE |
State | FL |
Zip Code | 32216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
Find all providers in zip 32216 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
1306853023 | Linda Aufdembrink Trotter | Dentist | 2532 Oak Street, Jacksonville, FL 32204 | 2006-08-02 |
1073568820 | Anita B Nahar | Dentist | 1830 West 45th Street, Jacksonville, FL 32208 | 2006-05-23 |
1326018110 | Joseph William Karitis | Dentist | 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2006-01-24 |
1629148770 | David L. Grochmal | Dentist | 7740 Point Meadows Dr, Suite 4, Jacksonville, FL 32256-9179 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
1942556337 | Avalondental Group | Dentist | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2012-08-03 |
1881959658 | Sarah Elizabeth Vanderbosch | Dentist | 9510 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4699 | 2012-07-09 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 32216 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.