OrganizationActive
Advanced Dental Care of Jacksonville PA
NPI 1093849895 · Dentist · Jacksonville, FL
Provider details
- NPI number
- 1093849895
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mike Cole, Insurance Director(727) 726-1611
Specialties & taxonomies
Dental Providers
Practice location
4540 Southside Blvd
1001
Jacksonville, FL 32216-5492
Phone: (904) 725-4433
Approximate (ZIP-level) locationGet directions
Mailing address
4540 Southside Blvd
Jacksonville, FL 32216-5492
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2010-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.