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

Dr. Cordaryl Lee Whitehead

Individual provider General Practice Dentistry · NPI 1952089609

Dr. Cordaryl Lee Whitehead is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

12517 Yellow Bluff Rd
Jacksonville, FL 32226-3809
Phone: (904) 204-7496
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28351 (FL)

Record details

NPI number1952089609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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