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DARRYL A. FIELD DDS PA LLC NPI 1841698883


NPI Information

NPI: 1841698883
Provider Name: DARRYL A. FIELD, DDS, PA, LLC

Other Name: AMELIA ISLAND PERIODONTICS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1361 13TH AVE S STE 220
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 273-4373
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DARRYL A. FIELD, DDS, PA, LLC is a periodontics dentist in Jacksonville Beach, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DARRYL A. FIELD, DDS, PA, LLC NPI is 1841698883. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Amelia Island Periodontics.

The provider's business location address is:

1361 13TH AVE S STE 220
JACKSONVILLE BEACH, FL
ZIP 32250-236
Phone: (904) 273-4373
Fax: (904) 242-8747

The provider's authorized official is Michelle E Hougland .
The authorized official title is Practice Administrator and has the following contact phone number (904) 273-4373.

The enumeration date for this NPI number is 12/8/2014 and was last updated on 1/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDN14294FLORIDAYes

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
11801982145OTHERFLORIDADENTIST, PERIODONTITIS

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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