Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alvin Reginald Samuels Jr., DDS

Individual provider Dentist · NPI 1992187637

Dr. Alvin Reginald Samuels Jr., DDS is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

554 Keily Street Bureau Of Med And Surg - Ccpd
Jacksonville, FL 32212
Phone: (757) 953-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9444378.9921 (UT)

Record details

NPI number1992187637
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015

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