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

South Jacksonville Dental PLLC

Organization General Practice Dentistry · NPI 1003287814

South Jacksonville Dental PLLC is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2015.

In the registry since
2015
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

8440 Blanding Blvd
Jacksonville, FL 32244
Phone: (904) 525-8041
Fax: (315) 410-5531
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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 number1003287814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Van Camp — Provider Relations Specialist · (315) 454-6000
Other names Aspen Dental
NPI enumeratedOctober 20, 2015
Last updated in NPPESOctober 20, 2015
Mailing address8440 Blanding Blvd, Jacksonville, FL 32244

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