JAX BEACHES FAMILY DENTISTRY PA NPI 1992114029

NPI Information

NPI: 1992114029
Provider Name: JAX BEACHES FAMILY DENTISTRY, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
802 3RD ST
NEPTUNE BEACH, FL
ZIP 32266
Phone: (904) 247-0111
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JAX BEACHES FAMILY DENTISTRY, PA is a general practice dentist in Neptune Beach, 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. JAX BEACHES FAMILY DENTISTRY, PA NPI is 1992114029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

802 3RD ST
NEPTUNE BEACH, FL
ZIP 32266-018
Phone: (904) 247-0111

The provider's authorized official is Michelle Defelice Hucke .
The authorized official title is President/ceo and has the following contact phone number (904) 501-9178.

The enumeration date for this NPI number is 8/2/2014 and was last updated on 8/2/2014.

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
1	1223G0001X	Dentist	General Practice	DN16151	FLORIDA	Yes

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: 5/5/2024

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