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

Dr. Larry David Burnside, DDS

Individual provider Dentist · NPI 1306917588

Dr. Larry David Burnside, DDS is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12708 San Jose Blvd
Jacksonville, FL 32223-2689
Phone: (904) 268-0904
Fax: (904) 268-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7825 (FL)

Record details

NPI number1306917588
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address711 Creighton Rd, Orange Park, FL 32003-7008

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