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

Dentists of Southside, PA

Organization General Practice Dentistry · NPI 1508744137

Dentists of Southside, PA is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

4316 Southside Blvd
Jacksonville, FL 32216-5474
Phone: (904) 322-8754
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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

Record details

NPI number1508744137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Azadi — Owner · (714) 845-8500
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing addressPo Box 660041, Dallas, TX 75266-0041

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