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

Fire Creek Dental

Organization General Practice Dentistry · NPI 1265402119

Fire Creek Dental is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1510 Willow Branch Ave
Jacksonville, FL 32205-8118
Phone: (904) 387-3535
Fax: (904) 389-1208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2333 (FL)

Record details

NPI number1265402119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Shellman — Manager · (904) 387-3535
NPI enumeratedJanuary 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1510 Willow Branch Ave, Jacksonville, FL 32205-8118

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