Advanced Dental Care of Jacksonville PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADVANCED DENTAL CARE OF JACKSONVILLE PA

Practice address

4540 Southside Blvd
1001
Jacksonville, FL 32216-5492

Phone

(904) 725-4433

NPI assigned

Mar 15, 2007

Last updated

May 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1093849895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD",
            "address_2": "1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD",
            "address_2": "1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165492",
            "telephone_number": "904-725-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF JACKSONVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Pediatrics of Florida, LLC (Advanced Care Partners, Jacksonville)
• Advanced Care Therapy Services, LLC
• Advanced Care Transportation LLC (Access)
• Advanced Chiropractic of Jacksonville
• Advanced Dental Care (Jacksonville South), PLLC
• Advanced Dialysis Jacksonville LLC
• Advanced Eye Care and Optical Inc
• Advanced Hair Care & Wellness Spa, LLC
• Advanced Homecare, Inc.
• Advanced Injury Care Center Jacksonville LLC

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.