OrganizationActive
Lysandro O. Tapnio DMD PA
NPI 1750640686 · Customized Equipment (DME) · Jacksonville, FL
Provider details
- NPI number
- 1750640686
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Leah Martin, Office Manager(904) 641-0944
- License
- 10175 (FL)
Specialties & taxonomies
Suppliers
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9272 Arlington Expy
Jacksonville, FL 32225-8212
Phone: (904) 641-0944
Fax: (904) 642-2999
Street-level locationGet directions
Mailing address
9272 Arlington Expy
Jacksonville, FL 32225-8212
Other names (DBA / former)
- Doing business as
- Beacon Family Dentistry
Registry dates
- Enumerated
- 2012-05-12
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.