Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlson Dental Group Providers, LLC

Organization General Practice Dentistry · NPI 1265867691

Carlson Dental Group Providers, LLC is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13241 Bartram Park Blvd Bldg 1700
Jacksonville, FL 32258-5212
Phone: (904) 262-8409
Fax: (904) 262-4012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN19024 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN20275 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN18532 (FL)

Record details

NPI number1265867691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Carlson — Owner · (904) 262-8409
NPI enumeratedSeptember 4, 2013
Last updated in NPPESSeptember 4, 2013
Mailing address13241 Bartram Park Blvd, Bldg 1700, Jacksonville, FL 32258-5212

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