BANG QUACH D.M.D. MD. NPI 1588104301

NPI Information

  • NPI: 1588104301
  • Provider Name: BANG QUACH, D.M.D., MD.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 653-1 W 8TH ST FL 2
    JACKSONVILLE, FL
    ZIP 32209
  • Phone: (904) 244-3689

Map and Directions

Get Directions

NPI Details

Bang Quach, D.M.D., MD. is an oral and maxillofacial surgery dentist in Jacksonville, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Bang Quach, D.M.D., MD. NPI is 1588104301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

653-1 W 8TH ST FL 2
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-3689

The NPI 1588104301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/27/2017 and was last updated on 8/8/2023.

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
1122300000XDentistDN22840FLORIDANo
21223S0112XDentistOral and Maxillofacial SurgeryDEN2000300DISTRICT OF COLUMBIANo
31223S0112XDentistOral and Maxillofacial SurgeryDN123045GEORGIANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
51223S0112XDentistOral and Maxillofacial SurgeryDN22840FLORIDAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI