OrganizationActive
Willette Shaeffer DMD PA
NPI 1629100227 · Dentist · Jacksonville, FL
Willette Shaeffer DMD PA is a Dentist organization in Jacksonville, FL (NPI 1629100227).
Provider details
- NPI number
- 1629100227
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Willette Shaeffer, President(904) 642-1139
- License
- DN15241 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
2711-2 Saint Johns Bluff Rd S
Jacksonville, FL 32246-3703
Phone: (904) 642-1139
Fax: (904) 642-7858
Street-level locationGet directions
Mailing address
2711-2 Saint Johns Bluff Rd S
Jacksonville, FL 32246-3703
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Willette Shaeffer DMD PA's NPI number?
- Willette Shaeffer DMD PA's National Provider Identifier (NPI) is 1629100227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willette Shaeffer DMD PA?
- Willette Shaeffer DMD PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Willette Shaeffer DMD PA located?
- Willette Shaeffer DMD PA's practice location on file with NPPES is 2711-2 Saint Johns Bluff Rd S, Jacksonville, FL 32246-3703.
- What is Willette Shaeffer DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Willette Shaeffer DMD PA is (904) 642-1139.
- Who is the authorized official for Willette Shaeffer DMD PA?
- The authorized official listed on Willette Shaeffer DMD PA's NPPES record is Willette Shaeffer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willette Shaeffer DMD PA's NPI active?
- Yes — Willette Shaeffer DMD PA's NPI (1629100227) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.