OrganizationActive
Ideal Dental - Jacksonville Beach
NPI 1912679580 · Dentist · Jacksonville Beach, FL
Ideal Dental - Jacksonville Beach is a Dentist organization in Jacksonville Beach, FL (NPI 1912679580).
Provider details
- NPI number
- 1912679580
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Doan, Owner(972) 331-8079
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
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
2218 3rd St S
Jacksonville Beach, FL 32250-4021
Phone: (904) 441-0632
Fax: (904) 747-4156
Street-level locationGet directions
Mailing address
Po Box 840925
Dallas, TX 75284-0925
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Ideal Dental - Jacksonville Beach's NPI number?
- Ideal Dental - Jacksonville Beach's National Provider Identifier (NPI) is 1912679580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Dental - Jacksonville Beach?
- Ideal Dental - Jacksonville Beach is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ideal Dental - Jacksonville Beach located?
- Ideal Dental - Jacksonville Beach's practice location on file with NPPES is 2218 3rd St S, Jacksonville Beach, FL 32250-4021.
- What is Ideal Dental - Jacksonville Beach's phone number?
- The practice phone number listed in the NPPES registry for Ideal Dental - Jacksonville Beach is (904) 441-0632.
- Who is the authorized official for Ideal Dental - Jacksonville Beach?
- The authorized official listed on Ideal Dental - Jacksonville Beach's NPPES record is Matthew Doan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Dental - Jacksonville Beach's NPI active?
- Yes — Ideal Dental - Jacksonville Beach's NPI (1912679580) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.