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

Larry D. Burnside DDS, PA

Organization Dentist · NPI 1861563041

Larry D. Burnside DDS, PA is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

12708 San Jose Blvd
Jacksonville, FL 32223-2689
Phone: (904) 268-0904
Fax: (904) 268-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7825 (FL)

Record details

NPI number1861563041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Burnside — President · (904) 268-0904
NPI enumeratedNovember 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address711 Creighton Rd, Orange Park, FL 32003-7008

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