Active NPI
Victoria Elizabeth Sandoval, DMD
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1497455786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN28182
- Practice address
- 8355 Bayberry Rd
Jacksonville, FL 32256-4427 - Phone
- (904) 733-7254
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN28182 | FL | Primary |
Addresses
Primary practice location
8355 Bayberry Rd
Jacksonville, FL 32256-4427
Mailing address
8355 Bayberry Rd
Jacksonville, FL 32256-4427
Phone (904) 733-7254
Other practice location 1
8903 Glades Rd Ste D4
Boca Raton, FL 33434-4023
Phone (561) 483-9334
Other practice location 2
5431 N University Dr Ste 102
Coral Springs, FL 33067-4639
Phone (954) 255-2787
Other practice location 3
2050 Saint Johns Pkwy Ste 103-104
St Johns, FL 32259-4592
Phone (904) 733-7254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CL DDS 2 PA | Pediatric Dentistry | Past | Accepting new patients |
| CL DDS 2 PA | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Coral Springs, FL
- NPI 1134859010
-
- Pediatric Dentistry
- Coral Springs, FL
- NPI 1962010652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1497455786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8355 BAYBERRY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564427",
"telephone_number": "904-733-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 BAYBERRY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564427",
"telephone_number": "904-733-7254"
}
],
"practiceLocations": [
{
"address_1": "8903 Glades Rd Ste D4",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334344023",
"country_code": "US",
"telephone_number": "561-483-9334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5431 N University Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330674639",
"country_code": "US",
"telephone_number": "954-255-2787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 Saint Johns Pkwy Ste 103-104",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322594592",
"country_code": "US",
"telephone_number": "904-733-7254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN28182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.