OrganizationActive
Dyer Palm Leaf Dental LLC
NPI 1457140535 · Dental Clinic/Center · Jacksonville, FL
Dyer Palm Leaf Dental LLC is a Dental Clinic/Center organization in Jacksonville, FL (NPI 1457140535).
Provider details
- NPI number
- 1457140535
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shayla Moore, Human Resources(402) 505-6843
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
9770 Old Baymeadows Rd Ste 113
Jacksonville, FL 32256-7986
Phone: (904) 607-3901
Street-level locationGet directions
Mailing address
6606 S 168th St Ste 100
Omaha, NE 68135-5420
Other names (DBA / former)
- Doing business as
- Emergency Dental of Jacksonville
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Dyer Palm Leaf Dental LLC's NPI number?
- Dyer Palm Leaf Dental LLC's National Provider Identifier (NPI) is 1457140535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dyer Palm Leaf Dental LLC?
- Dyer Palm Leaf Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dyer Palm Leaf Dental LLC located?
- Dyer Palm Leaf Dental LLC's practice location on file with NPPES is 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986.
- What is Dyer Palm Leaf Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Dyer Palm Leaf Dental LLC is (904) 607-3901.
- Who is the authorized official for Dyer Palm Leaf Dental LLC?
- The authorized official listed on Dyer Palm Leaf Dental LLC's NPPES record is Shayla Moore, Human Resources. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dyer Palm Leaf Dental LLC's NPI active?
- Yes — Dyer Palm Leaf Dental LLC's NPI (1457140535) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.