BEACHVIEW DENTAL PLLC NPI 1528618071

NPI Information

  • NPI: 1528618071
  • Provider Name: BEACHVIEW DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1700 WELLS RD STE 19
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 586-1234

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NPI Details

BEACHVIEW DENTAL PLLC is a dental clinic center in Orange Park, FL. BEACHVIEW DENTAL PLLC NPI is 1528618071. The provider is registered as an organization entity type.

The provider's business location address is:

1700 WELLS RD STE 19
ORANGE PARK, FL
ZIP 32073-374
Phone: (904) 586-1234

The provider's authorized official is Michael James Thomasino .
The authorized official title is Owner and has the following contact phone number (904) 586-1234.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 9/17/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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