Oaktree Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OAKTREE DENTAL LLC

Practice address

14595 Philips Highway
Jacksonville, FL 32256

Phone

(904) 379-9268

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Aaron Evens, DDS

Title

Owner

Phone

(904) 955-1151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1093327702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AZALEA PL",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322666013",
            "telephone_number": "404-543-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14595 PHILIPS HIGHWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-379-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "EVENS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-955-1151",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakleaf Injury and Pain Center LLC
• Oakleaf Orthodontics, PLLC
• Jessica Jolene Oakley Nunziata, LMHC
• Heather K Oakley, LCSW
• Victoria Shaw Oakley
• Oaktree Dentistry PLLC
• Oakwood Urgent Care LLC
• Oasis Wellness Nursing
• Latoya Oates
• OB Hospitalist Group LLC

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.