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

Dr. Bethany Ann Douglas, DMD

Individual provider Endodontics · NPI 1437484128

Dr. Bethany Ann Douglas, DMD is an Endodontics in Jacksonville, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2009.

Licensed in
FL, GA
In the registry since
2009
Specialties on file
2
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

9109 Baymeadows Rd Ste 2
Jacksonville, FL 32256-1842
Phone: (904) 265-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN19093 (FL)
Endodontics Taxonomy 1223E0200X · Licence DN014001 (GA)

Record details

NPI number1437484128
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 14, 2009
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address1060 Oakvale Rd, St Johns, FL 32259-3823

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