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

Samuel B. Gaskins IV DMD PA

Organization Dental Clinic/Center · NPI 1598811754

Samuel B. Gaskins IV DMD PA is a Dental Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

943 Cesery Blvd Bldg B
Jacksonville, FL 32211-5635
Phone: (904) 744-4522
Fax: (904) 744-2692
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 11982 (FL)

Record details

NPI number1598811754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Gaskins — President · (904) 744-4522
NPI enumeratedJanuary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address943 Cesery Blvd, Building B, Jacksonville, FL 32211-5635

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