Dyer Palm Leaf Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DYER PALM LEAF DENTAL LLC

Practice address

9770 Old Baymeadows Rd
Jacksonville, FL 32256-7909

Phone

(402) 505-6843

NPI assigned

Apr 8, 2026

Organization subpart

Yes

Parent organization

DYER PALM LEAF DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Shayla Moore

Title

HR Admin

Phone

(402) 505-6843

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental of Jacksonville Doing business as

Tax ID family

Dyer Palm Leaf Dental LLC3 organizations share this tax ID, including this one

Part of

Dyer Palm Leaf Dental LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dyer Palm Leaf Dental LLC

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1073447041
  NPD tax ID
• Dyer Palm Leaf Dental LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1639012636
  NPD tax ID

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1467394395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 OLD BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 OLD BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567909",
            "telephone_number": "402-505-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER PALM LEAF DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYER PALM LEAF DENTAL LLC",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "HR ADMIN",
        "authorized_official_telephone_number": "402-505-6843"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karlene Dyce, RCSWI
• Alexander Dye, MD
• Kenneth Dye, PA
• Mary Elizabeth Dye, MD
• Patricia Dye, LMHC
• James Dyer, PA-C
• Newman Connor Dyer, M.D.
• Felicia M. Dyess, A.P.
• Kelly Dyess, DO
• Johnathan David Dykes, PHARM.D

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.