OrganizationActive
San Jose Family Denistry
NPI 1942612502 · Durable Medical Equipment & Medical Supplies · Jacksonville, FL
Provider details
- NPI number
- 1942612502
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Shonda Allemand, Front Office(904) 737-8081
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178
Phone: (904) 737-8081
Fax: (904) 737-3343
Street-level locationGet directions
Mailing address
9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2014-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.