OrganizationActive
The Jesus Clinic Inc
NPI 1588512511 · General Practice Dentistry · Daytona Beach, FL
The Jesus Clinic Inc is a General Practice Dentistry organization in Daytona Beach, FL (NPI 1588512511).
Provider details
- NPI number
- 1588512511
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeff Rundall, Office Manager(386) 576-7076
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1630 Mason Ave Ste a
Daytona Beach, FL 32117-4503
Phone: (386) 253-6959
Fax: (386) 253-6957
Street-level locationGet directions
Mailing address
1630 Mason Ave Ste a
Daytona Beach, FL 32117-4503
Registry dates
- Enumerated
- 2026-03-17
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Frequently asked questions
- What is The Jesus Clinic Inc's NPI number?
- The Jesus Clinic Inc's National Provider Identifier (NPI) is 1588512511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Jesus Clinic Inc?
- The Jesus Clinic Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is The Jesus Clinic Inc located?
- The Jesus Clinic Inc's practice location on file with NPPES is 1630 Mason Ave Ste a, Daytona Beach, FL 32117-4503.
- What is The Jesus Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for The Jesus Clinic Inc is (386) 253-6959.
- Who is the authorized official for The Jesus Clinic Inc?
- The authorized official listed on The Jesus Clinic Inc's NPPES record is Jeff Rundall, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Jesus Clinic Inc's NPI active?
- Yes — The Jesus Clinic Inc's NPI (1588512511) is active in the NPPES registry as of the last update on 2026-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.