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

Individual provider Dentist · NPI 1780098723

Andrew Bellebaum, DMD is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

554 Keily Street Bureau Of Med And Sur Centralized Credentials And Privilegeing
Jacksonville, FL 32312
Phone: (757) 953-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8380 (SC)

Record details

NPI number1780098723
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESJune 18, 2014
Mailing address554 Keily Street Bureau Of Med And Sur, Centralized Credentials And Privi Privilegeing, Jacksonville, FL 32312

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