OrganizationActive
Patriot Family Dental PA
NPI 1982571584 · General Practice Dentistry · Jacksonville, FL
Patriot Family Dental PA is a General Practice Dentistry organization in Jacksonville, FL (NPI 1982571584).
Provider details
- NPI number
- 1982571584
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Wiman, President(904) 731-0432
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
8823 Goodbys Executive Dr
Jacksonville, FL 32217-4605
Phone: (470) 336-2612
Street-level locationGet directions
Mailing address
8823 Goodbys Executive Dr
Jacksonville, FL 32217-4605
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Patriot Family Dental PA's NPI number?
- Patriot Family Dental PA's National Provider Identifier (NPI) is 1982571584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patriot Family Dental PA?
- Patriot Family Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Patriot Family Dental PA located?
- Patriot Family Dental PA's practice location on file with NPPES is 8823 Goodbys Executive Dr, Jacksonville, FL 32217-4605.
- What is Patriot Family Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Patriot Family Dental PA is (470) 336-2612.
- Who is the authorized official for Patriot Family Dental PA?
- The authorized official listed on Patriot Family Dental PA's NPPES record is Kevin Wiman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patriot Family Dental PA's NPI active?
- Yes — Patriot Family Dental PA's NPI (1982571584) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.