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

Dr. Joseph Michael Medina, DMD

Individual provider Dentist · NPI 1619515343

Dr. Joseph Michael Medina, DMD is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2019
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

964 Ajax St
Jacksonville, FL 32214-0130
Phone: (904) 546-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11552303-9921 (UT)

Record details

NPI number1619515343
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 12, 2019
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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