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

Carlson Dental Group Riverside, PA

Organization Dentist · NPI 1801283387

Carlson Dental Group Riverside, PA is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Riverside Ave Ste 104
Jacksonville, FL 32202-4934
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

Dentist (primary) Taxonomy 122300000X · Licence 10002 (FL)

Record details

NPI number1801283387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Kauffman — Office Manager · (904) 262-8409
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address13241 Bartram Park Blvd, Bldg 1700, Jacksonville, FL 32258-5212

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