Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

United Stated Navy

Organization Dentist · NPI 1760834980

United Stated Navy provides Dentist services in Jacksonville, Florida. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
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Practice location Address checks out

Bldg H 2005 Knight Lane Navy Medicine Support Support Command Attn: Medical Sta
Jacksonville, FL 32212-0140 Not confirmed with CMS for 10 years — call before visiting
Phone: (760) 725-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8727 (SC)

Record details

NPI number1760834980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Smith — Dentist · (770) 241-9192
NPI enumeratedJuly 12, 2016
Last updated in NPPESJuly 12, 2016
Mailing addressBldg H 2005 Knight Lane, Navy Medicine Support Support Command Attn: Medical Sta, Jacksonville, FL 32212-0140

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