OrganizationActive
Ldshane PLLC
NPI 1013427509 · Dentist · Jacksonville, FL
Provider details
- NPI number
- 1013427509
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Johnson, Owner(904) 751-4958
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1566 Dunn Ave
Jacksonville, FL 32218
Phone: (904) 751-4958
Fax: (904) 751-5330
Street-level locationGet directions
Mailing address
1566 Dunn Ave
Jacksonville, FL 32218
Other names (DBA / former)
- Doing business as
- North Jacksonville Complete Dentistry
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.