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

Professional Dental Alliance of Jacksonville Beach, PLLC

Organization General Practice Dentistry · NPI 1366072464

Professional Dental Alliance of Jacksonville Beach, PLLC is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

14054 Beach Blvd Ste 10
Jacksonville, FL 32250-1596
Phone: (904) 821-8330
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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 number1366072464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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