DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA


Address: 4131 University Blvd S Ste 10, Jacksonville, FL 32216-4346
Phone: 9047375511

DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA (NPI# 1043623903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043623903
Entity Type Organization
Organization Name DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA
Other Organization Name ATLANTIC SMILES
Practice Address 4131 University Blvd S Ste 10
Jacksonville
FL 32216-4346
Practice Telephone 9047375511
Practice Fax Number 9419180605
Mailing Telephone 9047375511
Mailing Fax Number 9419180605
Enumeration Date 2014-06-09
Last Update Date 2016-01-04
Authorized Official Name ROBERT WARDEN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9419184300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN12415 FL Dental Providers

Other Provider/Organization Names

Other Name Type Code
Atlantic Smiles Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750786729 Dynamic Dental Health Associates of Florida, Pa Dentist 2555 Enterprise Rd Ste 3, Clearwater, FL 33763-1104 2014-11-03
1841692191 Dynamic Dental Health Associates of Florida, Pa Dentist 8620 S Tamiami Trl # A-c, Sarasota, FL 34238-3049 2014-09-18
1417357096 Dynamic Dental Health Associates of Florida, Pa Dentist 218 53rd Ave W, Bradenton, FL 34207-3412 2014-09-02
1487067344 Dynamic Dental Health Associates of Florida, Pa Dentist 3731 Nw 40th Ter Ste A, Gainesville, FL 32606-8148 2014-06-09
1568892792 Dynamic Dental Health Associates of Florida, Pa Dentist 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 2013-11-26
1316377641 Dynamic Dental Health Associates of Florida, Pa Dentist 1214 E Venice Ave Ste B, Venice, FL 34285-7165 2013-11-22
1457781361 Dynamic Dental Health Associates of Florida, Pa Dentist 1058 N Tamiami Trl Ste 106, Sarasota, FL 34236-2427 2013-11-14
1164731857 Dynamic Dental Health Associates of Florida, Pa Dentist 657 Tamiami Trl S, Venice, FL 34285-3237 2010-09-29
1043529738 Dynamic Dental Health Associates of Florida, Pa Dentist 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 2010-09-29
1629387477 Dynamic Dental Health Associates of Florida, Pa Dentist 8620 S. Tamiami Trail A-c, Sarasota, FL 34238 2010-09-28

Office Location

Street Address 4131 UNIVERSITY BLVD S STE 10
City JACKSONVILLE
State FL
Zip Code 32216-4346

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962018424 Sydney Fowler Dentist 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 2020-09-21
1871106260 Comfortable Care Dental Health Professionals, P.a. Dentist 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 2020-08-26
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1659923118 San Jose Aspen Pllc Dentist 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 2019-07-15
1326603176 Evens Family Dental Dentist 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 2019-05-07
1487123006 Susan Prater Kudlats, D.m.d, P.a. Dentist 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 2018-11-14
1043792534 Atlantic Dentistry Pa Dentist 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 2018-08-31
1447738620 Argyle Dental Pllc Dentist 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 2018-07-31
1427534445 Sandeep Chunduru Dentist 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 2018-07-12
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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