Affordable Dentures & Implants - North Jacksonville III, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A.

Practice address

800 Dunn Ave
Jacksonville, FL 32218-4803

Phone

(904) 240-1941

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Wiman, DMD

Title

Owner

Phone

(904) 240-1941

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentures & Implants - North Jacksonville Doing business as

Locations

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1740001668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184803",
            "telephone_number": "904-240-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184803",
            "telephone_number": "904-240-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "WIMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-240-1941",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - North Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affirm Direct Primary Care P.a.
• Affordable Chiropractic Medicine Jacksonville LLC
• Affordable Chiropractic Medicine Jacksonville LLC
• Affordable Dentures -Jacksonville, P.C.
• Affordable Dentures & Implants - Florida, PLLC
• Affordable Dentures & Implants - North Jacksonville IV, P.a.
• Affordable Dentures & Implants- North Jacksonville II, P.a.
• Affordable Dentures & Implants- North Jacksonville, P.a.
• Affordable Dentures-Jacksonville, P.a.
• Affordable Medical & Dental Supply LLC

• 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 Oct 23, 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.