OrganizationActive
Surfside Dental Specialist
NPI 1205251790 · Endodontics · Neptune Beach, FL
Provider details
- NPI number
- 1205251790
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Crystal Less, Vp of Operations(904) 998-7000
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
630 Atlantic Blvd
Suite 7
Neptune Beach, FL 32266-4000
Phone: (904) 998-7000
Fax: (904) 998-7702
Street-level locationGet directions
Mailing address
3545-1 St. Johns Bluff Rd. S.
Jacksonville, FL 32224
Registry dates
- Enumerated
- 2014-02-20
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.