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

Patriot Family Dental PA

Organization General Practice Dentistry · NPI 1982571584

Patriot Family Dental PA is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

8823 Goodbys Executive Dr
Jacksonville, FL 32217-4605
Phone: (470) 336-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1982571584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Wiman — President · (904) 731-0432
NPI enumeratedOctober 20, 2025
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address8823 Goodbys Executive Dr, Jacksonville, FL 32217-4605

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