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

First Coast Periodontics, PA

Organization Dental Clinic/Center · NPI 1679888952

First Coast Periodontics, PA is a Dental Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

7711 Baymeadows Rd E Ste 7
Jacksonville, FL 32256-9675
Phone: (904) 807-9825
Fax: (904) 807-9829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN11181 (FL)

Record details

NPI number1679888952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Wood — President · (904) 807-9825
NPI enumeratedAugust 11, 2010
Last updated in NPPESAugust 11, 2010
Mailing address7711 Baymeadows Rd E, Suite 7, Jacksonville, FL 32256-9675

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