Individual provider Active NPI

Eric Graham Pressler, DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1083397384
Registry record updated Aug 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28527 Issued in FL
Practice address
445 State Road 13 N Ste 22
Jacksonville, FL 32259-2821
Phone
(904) 209-6590
NPI assigned
Aug 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28527 FL Primary

Addresses

Primary practice location

445 State Road 13 N Ste 22
Jacksonville, FL 32259-2821

Mailing address

11927 Blue Spruce CT
Jacksonville, FL 32223-2923
Phone (215) 495-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN28527FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. CurrentSince Aug 13, 2023 Accepting new patients
Coast Dental P.a. PastSince Aug 13, 2023 Accepting new patients

Locations

445 State Road 13 N
Ste 22
Jacksonville, FL 32259
Phone (904) 209-6590

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691798400000",
    "number": "1083397384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11927 BLUE SPRUCE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232923",
            "telephone_number": "215-495-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 STATE ROAD 13 N STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592821",
            "telephone_number": "904-209-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLER",
        "first_name": "ERIC",
        "middle_name": "GRAHAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-12",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.