OrganizationActive
Larry D. Burnside D.d.s.,p.a.
NPI 1861563041 · Dentist · Jacksonville, FL
Larry D. Burnside D.d.s.,p.a. is a Dentist organization in Jacksonville, FL (NPI 1861563041).
Provider details
- NPI number
- 1861563041
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Larry Burnside, President(904) 268-0904
- License
- 7825 (FL)
Specialties & taxonomies
Dental Providers
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
12708 San Jose Blvd
Jacksonville, FL 32223-2689
Phone: (904) 268-0904
Fax: (904) 268-0306
Street-level locationGet directions
Mailing address
711 Creighton Rd
Orange Park, FL 32003-7008
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Larry D. Burnside D.d.s.,p.a.'s NPI number?
- Larry D. Burnside D.d.s.,p.a.'s National Provider Identifier (NPI) is 1861563041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larry D. Burnside D.d.s.,p.a.?
- Larry D. Burnside D.d.s.,p.a. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Larry D. Burnside D.d.s.,p.a. located?
- Larry D. Burnside D.d.s.,p.a.'s practice location on file with NPPES is 12708 San Jose Blvd, Jacksonville, FL 32223-2689.
- What is Larry D. Burnside D.d.s.,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Larry D. Burnside D.d.s.,p.a. is (904) 268-0904.
- Who is the authorized official for Larry D. Burnside D.d.s.,p.a.?
- The authorized official listed on Larry D. Burnside D.d.s.,p.a.'s NPPES record is Larry Burnside, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larry D. Burnside D.d.s.,p.a.'s NPI active?
- Yes — Larry D. Burnside D.d.s.,p.a.'s NPI (1861563041) 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.