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

Individual provider Dentist · NPI 1164629416

Dr. Jillian Kimberly Medure, DMD is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

3630 Saint Johns Ave
Jacksonville, FL 32205-9065
Phone: (904) 387-0501
Fax: (904) 387-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 052197 (NY)

Record details

NPI number1164629416
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESMay 6, 2014

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