SUSAN PRATER KUDLATS, D.M.D, P.A.


Address: 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130
Phone: 4045091292

SUSAN PRATER KUDLATS, D.M.D, P.A. (NPI# 1487123006) 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) 1487123006
Entity Type Organization
Organization Name SUSAN PRATER KUDLATS, D.M.D, P.A.
Practice Address 12620 Beach Blvd Ste 18
Jacksonville
FL 32246-7130
Practice Telephone 4045091292
Mailing Telephone 4045091292
Enumeration Date 2018-11-14
Last Update Date 2018-11-14
Authorized Official Name SUSAN PRATER (PRESIDENT)
Authorized Official Telephone 9046200404
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Kernan Family Dental Care Doing Business As Name - Organization

Office Location

Street Address 12620 BEACH BLVD STE 18
City JACKSONVILLE
State FL
Zip Code 32246-7130

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1780173526 Jules Novall LLC Taxi 4600 Touchton Rd, Jacksonville, FL 32246 2018-05-08
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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
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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
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
1669968905 Micheline Baz Elbahri Dentist 8131 Baymeadows Cir W Ste 102, Jacksonville, FL 32256 2018-07-10
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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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