DR. SCOTT ROBERTS SKLENICKA


Address: 2511 Saint Johns Bluff Rd S, Suite 207, Jacksonville, FL 32246-2346
Phone: 9047245020

DR. SCOTT ROBERTS SKLENICKA (NPI# 1316151301) 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) 1316151301
Entity Type Individual
Full Name DR. SCOTT ROBERTS SKLENICKA
Credential D.M.D., M.D.
Practice Address 2511 Saint Johns Bluff Rd S
Suite 207
Jacksonville
FL 32246-2346
Mailing Address 11481 Old Saint Augustine Rd
Suite 203
Jacksonville
FL 32258-1473
Practice Telephone 9047245020
Mailing Telephone 9047376799
Enumeration Date 2007-05-09
Last Update Date 2015-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DN16852 FL Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2511 SAINT JOHNS BLUFF RD S
SUITE 207
City JACKSONVILLE
State FL
Zip Code 32246-2346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497158042 Brittany Marie Phillips Physical Therapist 2511 Saint Johns Bluff Rd S, Jacksonville, FL 32246-2346 2014-09-26
1144533597 Aida Cavka Dentist 2511 Saint Johns Bluff Rd S, Unit 206, Jacksonville, FL 32246-2346 2010-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275179863 Samar A Ibrahim Pharmacist 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 2019-11-19
1386290898 Kelsey R Clevenger Chiropractor 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 2019-08-12
1700449006 Jand. Inc. Eyewear Supplier (Equipment, not the service) 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 2019-04-22
1205399946 Usa United Surgical Assistants Clinic/Center Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 2019-04-10
1780173526 Jules Novall LLC Taxi 4600 Touchton Rd, Jacksonville, FL 32246 2018-05-08
1740636307 Jonathan David Browning Psychiatry & Neurology 4884 Deer Creek Drive W, Jacksonville, FL 32246 2016-05-12
1952770463 Alignment Healthcare Florida LLC Clinic/Center 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 2015-09-15
1558739417 Jessica Brake Physical Therapist 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 2015-09-09
1043686256 Healthyeye Dba Vision Express LLC Optometrist 4871 Town Center Parkway #5, Jacksonville, FL 32246 2015-08-12
1477954675 Joanivette Rodriguez Psychologist 3451 Saland Way Apt 504, Jacksonville, FL 32246 2014-09-08
Find all providers in zip 32246

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154760411 Tyler J Holley Dentist University of Florida- Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209 2013-06-20
1851602734 Carlo Enrico Guevara Dentist 4540 Southside Blvd Ste 1001, Jacksonville, FL 32216-5495 2010-06-25
1306073754 Bouali Frederick Amoli Dentist 5149 Normandy Blvd Unit 4, Jacksonville, FL 32205-4861 2009-06-12
1154555035 Salam Omar Salman Dentist 653 W. 8th Street, Uf - Jacksonville Dept. of Oral & Maxillofacial Surgery, Jacksonville, FL 32209 2009-05-07
1851417406 North Florida Oral & Facial Surgery, P.a. Dentist 11481 Old Saint Augustine Rd Ste 203, Jacksonville, FL 32258-1475 2007-03-22
1992832059 Vanni Russ Strenta Dentist 3914 Blanding Blvd, Jacksonville, FL 32210-5413 2007-02-27
1184760480 Gregory Joseph Groshan Dentist 3007 Hartley Rd, Jacksonville, FL 32257-6201 2007-01-30
1477606267 Gregory W Hartley Dentist 4181 Southpoint Dr E, Suite 200, Jacksonville, FL 32216-0993 2007-01-18
1366591265 Pairot Tayapongsak Dentist 7101 Normandy Blvd, Jacksonville, FL 32205-6211 2007-01-09
1578622908 Jason Lee Dentist 13820 Old St Augustine Rd, Suite 105, Jacksonville, FL 32258 2006-12-08
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32246

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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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