Julington Creek Family Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13430 Issued in FL

Legal business name

JULINGTON CREEK FAMILY DENTISTRY, PA

Practice address

465 State Road 13 Ste 9
Jacksonville, FL 32259-3858

Phone

(904) 230-2931

Fax

(904) 230-1627

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Lynn Amatrudi, DMD

Title

President

Phone

(904) 230-2961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194831230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 STATE ROAD 13 STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593858",
            "telephone_number": "904-230-2931",
            "fax_number": "904-230-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 STATE ROAD 13 STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593858",
            "telephone_number": "904-230-2931",
            "fax_number": "904-230-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULINGTON CREEK FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMATRUDI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-230-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Julia, LCSW
• Maltonia Julian
• Julie Mergl, Inc.
• Julie's Home Health Care LLC
• Julington Creek Chiropractic & Wellness Center PA
• Julington Creek Pediatrics
• Joseph Raymond Jumarang
• Angela Jumpp
• Junco Emergency Physicians LLC
• Junco Emergency Physicians LLC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.