904 Implants and Dentures PLLC
NPI 1700549136 · Dental Clinic/Center · Jacksonville, FL
904 Implants and Dentures PLLC is a Dental Clinic/Center organization in Jacksonville, FL (NPI 1700549136).
Provider details
- NPI number
- 1700549136
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Russell, Co-Owner(803) 665-6998
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is 904 Implants and Dentures PLLC's NPI number?
- 904 Implants and Dentures PLLC's National Provider Identifier (NPI) is 1700549136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 904 Implants and Dentures PLLC?
- 904 Implants and Dentures PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is 904 Implants and Dentures PLLC located?
- 904 Implants and Dentures PLLC's practice location on file with NPPES is 11645 Beach Blvd Ste 101, Jacksonville, FL 32246-8496.
- What is 904 Implants and Dentures PLLC's phone number?
- The practice phone number listed in the NPPES registry for 904 Implants and Dentures PLLC is (904) 999-9000.
- Who is the authorized official for 904 Implants and Dentures PLLC?
- The authorized official listed on 904 Implants and Dentures PLLC's NPPES record is William Russell, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 904 Implants and Dentures PLLC's NPI active?
- Yes — 904 Implants and Dentures PLLC's NPI (1700549136) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.