| NPI |
Provider Name |
Address |
Type |
| 1477445328 | MOBILE DENTAL XPRESS MANAGEMENT GROUP LLC | 1839 LANE AVE S STE 104
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 300-0126
| Organization |
| 1043631435 | MISS SHELLY ANTHONY, RDH | 120 KING ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 253-1287
| Individual |
| 1780278911 | NAINITA BANGERA | 10950 SAN JOSE BLVD STE 64
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 260-4244
| Individual |
| 1245998046 | DANIELLE BLEVINS | 2104 MASSEY AVE
JACKSONVILLE, FL
ZIP 32228
Phone: (904) 339-1930
| Individual |
| 1083369953 | MRS. DANIELLE BOATRIGHT SMIDDY | 445 STATE ROAD 13 STE 22
JACKSONVILLE, FL
ZIP 32259
Phone: (904) 209-6590
| Individual |
| 1144473554 | MR. DENNIS ALLAN BURKE, RDH | 2005 KNIGHT LANE
BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAF
JACKSONVILLE, FL
ZIP 32212
Phone: (928) 269-2353
| Individual |
| 1902543820 | MRS. ASHLEY CARTER, RDH | 1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 475-6230
| Individual |
| 1568129385 | KRISTIN CLAIRE CHASE, RDH | 964 AJAX STREET
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7100
| Individual |
| 1750196176 | MS. DEBORAH KAY DOMEN, R.D.H. | NAVAL HOSPITAL 2080 CHILD ST DEPT 5000
JACKSONVILLE, FL
ZIP 32214
Phone: (912) 573-4212
| Individual |
| 1114664711 | SHEREE DOZIER, RDH | 1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 475-6230
| Individual |
| 1033361449 | TANEIKA DUHANEY, RDH | NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL
ZIP 32212
Phone: (928) 269-2353
| Individual |
| 1275416745 | SONYA P DUNBAR, RDH | 1839 LANE AVE S STE 104
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 300-0126
| Individual |
| 1659918985 | IRIS E FERNANDEZREGIS | MEDICAL STAFF SVCS
BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL
ZIP 32212
Phone: (858) 577-1825
| Individual |
| 1326413279 | DARWIN ALEXANDER FLORES-LOPEZ, RDH | 554 KEILY ST.
BUREAU OF MEDICINE AND SURGERY-CREDENTIALS
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7011
| Individual |
| 1962012328 | MELODY JEAN GARCIA, RDH | NAVY MEDICENE SUPPORT COMMAND : MEDICAL STAFF SERVICES
BLDG H, 2005 KNIGHT LANE
JACKSONVILLE, FL
ZIP 32221
Phone: (760) 725-3213
| Individual |
| 1750766333 | NAKETA GEORGE, RDH | 554 KEILY STREET
BUREAU OF MEDICINE AND SURGERY-CREDENTIALS
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7011
| Individual |
| 1811654221 | MS. ALISA GOLDEN, RDH | 964 AJAX STREET
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7101
| Individual |
| 1407662281 | ARTI BHAKTA HAMMONDS, CRDH | 2080 CHILD ST DEPT 5000
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7168
| Individual |
| 1720496631 | ANGEL HARDISON | 554 KEILY STREET
BUREAU OF MEDICINE AND SURGERY CCPD
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-6509
| Individual |
| 1275908865 | AMANDA HARVEY, RDH | 554 KEILY STREET
BUREAU OF MEDICINE & SURGERY - CREDENTIALS AND PRIVILEG
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7011
| Individual |
| 1346907458 | SHELLY VANESSA HERNANDEZ, RDH | 964 AJAX STREET
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7000
| Individual |
| 1821804899 | ALICIA NICOLE HICKS, CRDH | 2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7130
| Individual |
| 1730597451 | THANAYI HOPSON | 554 KEILY STREET
BUREAU OF MEDICINE AND SURG CENTRALIZED CRED AND PRIV
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-6509
| Individual |
| 1336807130 | AMANDA MARIE KERLIN, CRDH | 2104 MASSEY AVE
JACKSONVILLE, FL
ZIP 32228
Phone: (904) 270-4460
| Individual |
| 1336492024 | MS. DONNA MAHACEK, RDH | 2764 SEBASTIAN CT
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 655-4259
| Individual |
| 1619634417 | MOLLY ANN MARTINEAU, RDH | 964 AJAX ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7100
| Individual |
| 1972331338 | CHRISTINA NELSON, RDH | 611 E. ADAMS ST
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 394-8060
| Individual |
| 1295132017 | TRUPTI PATEL, RDH | 554 KEILY ST - BUREAU OF MEDICINE AND SURGERY
CERTRALIZED CREDENTIALS
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7011
| Individual |
| 1538590153 | KUWANANH PAYNE | 6237 MERRILL RD
6237 MERRILL ROAD
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 744-2111
| Individual |
| 1851994958 | MELISSA PHAM | 445 STATE ROAD 13
JACKSONVILLE, FL
ZIP 32259
Phone: (904) 209-6590
| Individual |
| 1497185060 | KELLY PICKTON | 554 KEILY ST BUMED CCP DIRECTORATE
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-1897
| Individual |
| 1952655672 | FRANCES ELIZABETH POPPELL RUCKER, RDH | 4124 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 733-3763
| Individual |
| 1215674049 | TIMOTHY DORAL ROBERTSON | 1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 475-6230
| Individual |
| 1629616636 | MRS. MARIA KIANA ROGERS, RDH | NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL
ZIP 32212
Phone: (760) 725-3213
| Individual |
| 1588190052 | MRS. ALISA L RUSSELL, RDH | 2080 CHILD ST
BLDG 964 DENTAL
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7175
| Individual |
| 1801564026 | MS. TANYA RENE SHIRLEY, RDH | 3595 CARDINAL POINT DR
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 737-2040
| Individual |
| 1073866679 | MISS AUBRIE LEIGH TANNER, R.D.H. | 7933 BAYMEADOWS WAY STE 5
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 731-2162
| Individual |
| 1841593209 | MRS. DAWN VONDERAU, RDH | 611 E ADAMS ST
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 394-8060
| Individual |
| 1457759722 | YUE WANG, RDH | 554 KEILY STREET - BUREAU OF MEDICINE AND SURGERY
CREDENTIALING AND PRIVILEGING
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7011
| Individual |
| 1508392077 | ANGELA WOOD, RDH | 554 KEILY STREET
CCPD BUREAU OF MED AND SURGERY
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-8547
| Individual |
| 1972296812 | ASHLEY WORTHINGTON, CRDH | 12267 MAYORS DR
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 805-5971
| Individual |
