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

Professional Dental Alliance of Jacksonville San Jose, PLLC

Organization General Practice Dentistry · NPI 1578113254

Professional Dental Alliance of Jacksonville San Jose, PLLC is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9776 San Jose Blvd Ste 7
Jacksonville, FL 32257-5464
Phone: (904) 201-3565
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1578113254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

Other providers in Jacksonville