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

Basil Jan

Individual provider Dentist · NPI 1184468357

Basil Jan is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

5491 Dolphin Point Blvd
Jacksonville, FL 32211-3221
Phone: (904) 312-0960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 28716 (FL)
Dentist Taxonomy 122300000X · Licence DN28716 (FL)

Record details

NPI number1184468357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2024
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address7170 Sw 22nd St, Davie, FL 33317-7122

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