JAMES BRANDON BENNETT (NPI# 1659587715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659587715 |
| Entity Type | Individual |
| Full Name | JAMES BRANDON BENNETT |
| Credential | DMD |
| Practice Address |
13820 Old St Augustine Rd Jacksonville Jacksonville FL 32258-5424 |
| Mailing Address |
926 Great Pond Dr Ste 2003 Altamonte Springs FL 32714-7244 |
| Practice Telephone | 9042607700 |
| Practice Fax Number | 9042607733 |
| Mailing Telephone | 4077725124 |
| Mailing Fax Number | 4077883572 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN013432 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN18368 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000769100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543018 | James Adam Bennett | Behavioral Analyst | 4473 Clayborne Dr, Kalamazoo, MI 49009-2318 | 2016-04-12 |
| 1538547021 | James Q Bennett | Social Worker | 141 University Ave, Sewanee, TN 37375-2205 | 2015-05-15 |
| 1902216153 | James Bennett Jr. | Dentist | 10188 Nw 31st St, Coral Springs, FL 33065-3913 | 2014-04-28 |
| 1871813725 | James W. Bennett | Chiropractor | 3903 Northdale Blvd Ste 100w, Tampa, FL 33624-1853 | 2010-06-02 |
| 1861645830 | James Robert Bennett | Dentist | 19 Garton Plz, Weston, WV 26452-2128 | 2008-11-03 |
| 1679739882 | James Patrick Bennett | Dentist | 27748 Center Ridge Rd, Westlake, OH 44145-3919 | 2008-08-07 |
| 1679742555 | James R. Bennett Jr. | Physician Assistant | 5220 Oleander Dr Fl 2, Attn: Crendentialing, Wilmington, NC 28403-7021 | 2008-02-26 |
| 1841411667 | James Albert Bennett | Pharmacist | 2049 Shiloh Rd, Corinth, MS 38834 | 2007-05-01 |
| 1912024688 | James D Bennett | Specialist/Technologist, Other | 6584 N Yucca Trl, Parker, CO 80138-6110 | 2007-03-26 |
| 1083754592 | James A. Bennett | Dentist | 300 Peachtree St, Union, MS 39365-2632 | 2007-02-07 |
| Street Address |
13820 OLD ST AUGUSTINE RD JACKSONVILLE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578622908 | Jason Lee | Dentist | 13820 Old St Augustine Rd, Suite 105, Jacksonville, FL 32258 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.