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

United States Navy

Organization Dentist · NPI 1306395280

United States Navy is a Dentist in Jacksonville, Florida. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

Building H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs
Jacksonville, FL 32212-0140
Phone: (760) 725-3213
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7136-15 (WI)

Record details

NPI number1306395280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Ruocco — Commanding Officer · (760) 725-5208
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016
Mailing address853 Valley Ave, Solana Beach, CA 92075-2492

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