What is South Jacksonville Dental PLLC's NPI number?

South Jacksonville Dental PLLC's National Provider Identifier (NPI) is 1003287814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is South Jacksonville Dental PLLC?

South Jacksonville Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).

Where is South Jacksonville Dental PLLC located?

South Jacksonville Dental PLLC's practice location on file with NPPES is 8440 Blanding Blvd, Jacksonville, FL 32244.

What is South Jacksonville Dental PLLC's phone number?

The practice phone number listed in the NPPES registry for South Jacksonville Dental PLLC is (904) 525-8041.

Who is the authorized official for South Jacksonville Dental PLLC?

The authorized official listed on South Jacksonville Dental PLLC's NPPES record is Kim Van Camp, Provider Relations Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is South Jacksonville Dental PLLC's NPI active?

Yes — South Jacksonville Dental PLLC's NPI (1003287814) is active in the NPPES registry as of the last update on 2015-10-20.

OrganizationActive

South Jacksonville Dental PLLC

NPI 1003287814 · General Practice Dentistry · Jacksonville, FL

South Jacksonville Dental PLLC is a General Practice Dentistry organization in Jacksonville, FL (NPI 1003287814).

Provider details

NPI number: 1003287814
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Kim Van Camp, Provider Relations Specialist(315) 454-6000

Practice location

8440 Blanding Blvd

Jacksonville, FL 32244

Phone: (904) 525-8041

Fax: (315) 410-5531

Street-level locationGet directions

More FL providers

Mailing address

8440 Blanding Blvd

Jacksonville, FL 32244

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Other names (DBA / former)

Doing business as: Aspen Dental

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2015-10-20
Last updated: 2015-10-20

Frequently asked questions

What is South Jacksonville Dental PLLC's NPI number?: South Jacksonville Dental PLLC's National Provider Identifier (NPI) is 1003287814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is South Jacksonville Dental PLLC?: South Jacksonville Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
Where is South Jacksonville Dental PLLC located?: South Jacksonville Dental PLLC's practice location on file with NPPES is 8440 Blanding Blvd, Jacksonville, FL 32244.
What is South Jacksonville Dental PLLC's phone number?: The practice phone number listed in the NPPES registry for South Jacksonville Dental PLLC is (904) 525-8041.
Who is the authorized official for South Jacksonville Dental PLLC?: The authorized official listed on South Jacksonville Dental PLLC's NPPES record is Kim Van Camp, Provider Relations Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is South Jacksonville Dental PLLC's NPI active?: Yes — South Jacksonville Dental PLLC's NPI (1003287814) is active in the NPPES registry as of the last update on 2015-10-20.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions