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LARROC DENTAL NPI 1295231819


NPI Information

NPI: 1295231819
Provider Name: LARROC DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7768 OZARK DR
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 442-6000
Get Directions

LARROC DENTAL is a general practice dentist in Jacksonville, FL. The provider is 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. LARROC DENTAL NPI is 1295231819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7768 OZARK DR
JACKSONVILLE, FL
ZIP 32256-839
Phone: (904) 442-6000
Fax: (904) 503-1440

The provider's authorized official is Anthony Corral .
The authorized official title is Owner and has the following contact phone number (904) 442-6000.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN17063FLORIDAYes
21223G0001XDentistGeneral PracticeDN2788FLORIDANo
31223G0001XDentistGeneral PracticeDN14472FLORIDANo
4124Q00000XDental HygienistDH23171FLORIDANo
5124Q00000XDental HygienistDH9959FLORIDANo
6124Q00000XDental HygienistDH24089FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11275513434MEDICAIDFLORIDA
21730600958MEDICAIDFLORIDA
31992831341MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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