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).
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 |
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 |
Street Address |
2511 SAINT JOHNS BLUFF RD S SUITE 207 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32246-2346 |
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 |
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 Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
City | JACKSONVILLE |
Zip Code | 32246 |
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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.