SAMUEL B. GASKINS IV DMD PA NPI 1598811754

NPI Information

  • NPI: 1598811754
  • Provider Name: SAMUEL B. GASKINS IV DMD PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 943 CESERY BLVD
    BUILDING B
    JACKSONVILLE, FL
    ZIP 32211
  • Phone: (904) 744-4522

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NPI Details

SAMUEL B. GASKINS IV DMD PA is a dental clinic center in Jacksonville, FL. SAMUEL B. GASKINS IV DMD PA NPI is 1598811754. The provider is registered as an organization entity type.

The provider's business location address is:

943 CESERY BLVD
BUILDING B
JACKSONVILLE, FL
ZIP 32211-635
Phone: (904) 744-4522
Fax: (904) 744-2692

The provider's authorized official is Samuel Belton Gaskins .
The authorized official title is President and has the following contact phone number (904) 744-4522.

The enumeration date for this NPI number is 1/28/2007 and was last updated on 8/22/2020.

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/CenterDental11982FLORIDAYes

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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