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

Susan Prater Kudlats, D M D, PA

Organization General Practice Dentistry · NPI 1487123006

Susan Prater Kudlats, D M D, PA is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2018.

In the registry since
2018
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

12620 Beach Blvd Ste 18
Jacksonville, FL 32246-7130
Phone: (404) 509-1292
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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 number1487123006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Prater — President · (904) 620-0404
Other names Kernan Family Dental Care
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130

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