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
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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.
Practice location
8440 Blanding Blvd
Jacksonville, FL 32244
Phone: (904) 525-8041
Fax: (315) 410-5531
Street-level locationGet directions
Mailing address
8440 Blanding Blvd
Jacksonville, FL 32244
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- 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.