OrganizationActive
Midtown Dental of Jacksonville
NPI 1487737441 · Preferred Provider Organization · Jacksonville, FL
Provider details
- NPI number
- 1487737441
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Crystal Less, Vp of Operations(904) 998-7000
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2801 Saint Johns Bluff Rd S
Suite 1
Jacksonville, FL 32246-3761
Phone: (904) 641-3777
Fax: (904) 641-2146
Street-level locationGet directions
Mailing address
3545-1 St. Johns Bluff Rd. S.
Jacksonville, FL 32224
Registry dates
- Enumerated
- 2006-10-23
- 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.