OrganizationActive
Fetner and Hartigan, Periodontics
NPI 1053642264 · Periodontics · Jacksonville, FL
Provider details
- NPI number
- 1053642264
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Alan Fetner, Doctor(904) 296-8343
- License
- DN8387 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
7043 Southpoint Pkwy Ste B
Jacksonville, FL 32216-8742
Phone: (904) 296-8343
Fax: (904) 296-8663
Street-level locationGet directions
Mailing address
7043 Southpoint Pkwy S Ste B
Jacksonville, FL 32216-8712
Registry dates
- Enumerated
- 2010-01-28
- Last updated
- 2012-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.