Neil K Stevenson DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEIL K STEVENSON DMD, PLLC

Doing business as

Stevenson Family Dentistry

Practice address

12078 San Jose Blvd Ste 1
Jacksonville, FL 32223-8671

Phone

(904) 268-4466

Fax

(904) 268-5904

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By 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

Shelly Hand, CRDH

Title

Office Manager

Phone

(904) 268-4466

Specialties & licenses 1

Addresses

Other names 1

• Stevenson Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1285242941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238671",
            "telephone_number": "904-268-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238671",
            "telephone_number": "904-268-4466",
            "fax_number": "904-268-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL K STEVENSON DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-268-4466",
        "authorized_official_credential": "CRDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Anne Neidigh, LMHC
• Kirsten Neidler, LM, CPM
• Elizabeth Neifert
• Neighborhood Therapy LLC
• Mary Neikirk
• Jhame' Neil
• Zachery Dylan Neil, MD
• Tonia Neill, CRNA
• Thomas Jay Neilson, M.D.
• Pamela R Neish, M.D.

• 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 Jul 20, 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.