Oceanside Dental of Jacksonville

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OCEANSIDE DENTAL OF JACKSONVILLE

Doing business as

Oceanside Dental of Jacksonville

Practice address

7751 Baymeadows Rd E Ste 108
Jacksonville, FL 32256-5889

Phone

(208) 716-0415

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 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

Mrs. Kimberly Houk

Title

Practice Manager

Phone

(208) 716-0415

Specialties & licenses 1

Addresses

Other names 1

• Oceanside Dental of Jacksonville Doing business as

Locations

Practitioners 1

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.

• Dawit Adugna, DDS

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1144415209
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1467283523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PARADAS PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923120",
            "telephone_number": "208-716-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 BAYMEADOWS RD E STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565889",
            "telephone_number": "208-716-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE DENTAL OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "HOUK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "208-716-0415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanside Dental of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Oceanview Medicine, PLLC (Advanced Gastroenterology and Hepatology)
• Oceanview Therapy, LLC
• Oceanway Medical Center, Inc.
• Ocenture LLC
• Tali Jane Ochayon, MD

• 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 12, 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.