Jacksonville Family Dentistry at Southside, Inc
NPI 1073024006 · Dental Clinic/Center · Jacksonville, FL
Jacksonville Family Dentistry at Southside, Inc is a Dental Clinic/Center organization in Jacksonville, FL (NPI 1073024006).
Provider details
- NPI number
- 1073024006
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Blankenship, President(904) 210-5348
- License
- 16941 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2017-10-17
Frequently asked questions
- What is Jacksonville Family Dentistry at Southside, Inc's NPI number?
- Jacksonville Family Dentistry at Southside, Inc's National Provider Identifier (NPI) is 1073024006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Family Dentistry at Southside, Inc?
- Jacksonville Family Dentistry at Southside, Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacksonville Family Dentistry at Southside, Inc located?
- Jacksonville Family Dentistry at Southside, Inc's practice location on file with NPPES is 8101 Southside Blvd Ste 8, Jacksonville, FL 32256-8005.
- What is Jacksonville Family Dentistry at Southside, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Family Dentistry at Southside, Inc is (904) 641-2655.
- Who is the authorized official for Jacksonville Family Dentistry at Southside, Inc?
- The authorized official listed on Jacksonville Family Dentistry at Southside, Inc's NPPES record is Bryan Blankenship, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Family Dentistry at Southside, Inc's NPI active?
- Yes — Jacksonville Family Dentistry at Southside, Inc's NPI (1073024006) is active in the NPPES registry as of the last update on 2017-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.