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

Ideal Dental Town Center PLLC

Organization Dentist · NPI 1629714613

Ideal Dental Town Center PLLC is a Dentist in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4906 Town Center Pkwy Unit 404
Jacksonville, FL 32246-8594
Phone: (904) 441-1568
Fax: (904) 675-5094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629714613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Doan — Owner · (972) 331-8079
NPI enumeratedMay 11, 2022
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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