Individual provider Active NPI

Frederico Tepedino, DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1841529583
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18876 Issued in FL
Practice address
8771 Perimeter Park CT Ste 101
Jacksonville, FL 32216-2278
Phone
(904) 289-1554
Fax
(904) 289-1507
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18876 FL Primary

Addresses

Primary practice location

8771 Perimeter Park CT Ste 101
Jacksonville, FL 32216-2278

Mailing address

8771 Perimeter Park CT Ste 101
Jacksonville, FL 32216-2278
Phone (904) 289-1554

Other practice location 1

7645 Gate Pkwy
Suite 103
Jacksonville, FL 32256-2889
Phone (904) 998-9820

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

State licenses

LicenseStateTypeSpecialty
DN18876FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ft Med LLC General Practice Current Accepting new patients
Frederico Tepedino DMD PA General Practice Past Accepting new patients

Locations

8771 Perimeter Park Ct
Ste 101
Jacksonville, FL 32216
Phone (904) 289-1554

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1841529583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8771 PERIMETER PARK CT STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162278",
            "telephone_number": "904-289-1554",
            "fax_number": "904-289-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8771 PERIMETER PARK CT STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162278",
            "telephone_number": "904-289-1554",
            "fax_number": "904-289-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7645 Gate Pkwy",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562889",
            "country_code": "US",
            "telephone_number": "904-998-9820",
            "fax_number": "904-998-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPEDINO",
        "first_name": "FREDERICO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18876",
            "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 Jun 17, 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.