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

Jacksonville Family Dentistry at Southside, Inc

Organization Dental Clinic/Center · NPI 1073024006

Jacksonville Family Dentistry at Southside, Inc is a Dental Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8101 Southside Blvd Ste 8
Jacksonville, FL 32256-8005
Phone: (904) 641-2655
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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 16941 (FL)

Record details

NPI number1073024006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Blankenship — President · (904) 210-5348
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017
Mailing address100 Fairway Park Blvd Unit 512, Ponte Vedra Beach, FL 32082-2667

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