Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Ivan J Smith, DMD

Individual provider General Practice Dentistry · NPI 1942373584

Dr. Ivan J Smith, DMD practises General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

1190 Edgewood Ave W Ste B
Jacksonville, FL 32208-3419 Not confirmed with CMS for 19 years — call before visiting
Phone: (904) 764-4549
Fax: (904) 764-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0014805 (FL)

Record details

NPI number1942373584
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

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