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

Ideal Dental - Jacksonville Beach

Organization Dentist · NPI 1912679580

Ideal Dental - Jacksonville Beach is a Dentist in Jacksonville Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2218 3rd St S
Jacksonville Beach, FL 32250-4021
Phone: (904) 441-0632
Fax: (904) 747-4156
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1912679580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Doan — Owner · (972) 331-8079
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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