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

The Jesus Clinic Inc

Organization General Practice Dentistry · NPI 1588512511

The Jesus Clinic Inc is a General Practice Dentistry in Daytona Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1630 Mason Ave Ste A
Daytona Beach, FL 32117-4503
Phone: (386) 253-6959
Fax: (386) 253-6957
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1588512511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Rundall — Office Manager · (386) 576-7076
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1630 Mason Ave Ste A, Daytona Beach, FL 32117-4503

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