Access Dentistry Inc. PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ACCESS DENTISTRY INC. PA

Practice address

731 Duval Station Rd Ste 115
Jacksonville, FL 32218-0803

Phone

(904) 757-8089

NPI assigned

May 28, 2024

Last updated

May 28, 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

Michael Shaeffer, DMDNPI 1073738795

Title

VP

Phone

(904) 635-1832

Specialties & licenses 1

Addresses

Locations

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.

• Michael Shaeffer, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1073738795
  NPD Authorized official
• Su Ji Lee, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1609092725
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1407696602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUVAL STATION RD STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DUVAL STATION RD STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180803",
            "telephone_number": "904-757-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTISTRY INC. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "904-635-1832",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marites Acampora, APRN
• Aybuke Acar, MD
• Acare Medical LLC (ACare Medical)
• Acare Provider Services
• Access Care Connection LLC
• Access Physical Therapy LLC
• Access Physical Therapy, LLC
• Access Transport
• Accessable Aging, LLC
• Accessible Education Solutions

• 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 May 28, 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.