Digital Aesthetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIGITAL AESTHETIC DENTISTRY

Practice address

10915 Baymeadows Rd Ste 106
Jacksonville, FL 32256-9131

Phone

(904) 619-6478

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 2024By 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

Dr. Nicholas James Clayton, DDS, MSNPI 1902530488

Title

Dentist, Owner

Phone

(703) 999-7547

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas James Clayton, DDS, MS

  • General Practice Dentistry
  • Ponte Vedra Beach, FL
  • NPI 1902530488
  NPD Authorized official
• Linh Truong Bradberry, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1841505757
  NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1396553038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569131",
            "telephone_number": "904-619-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569131",
            "telephone_number": "904-619-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL AESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "703-999-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Digamon
• Digestive Disease Consultants
• Digestive Disease Consultants
• Digestive Specialty Pharmacy, LLC
• Lucia Victoria Diggs
• Digital Motion X-Ray of Florida, LLC
• Dignified Wellness LLC
• Dignitas Health LLC
• Dignity First Homecare Inc (Synergy HomeCare)
• Dignity Kare 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 Dec 27, 2024; 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.