Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Leandra Moore S. Antonio-Jose, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1902862493

Dr. Leandra Moore S. Antonio-Jose, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry 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

3457 Hendricks Ave
Jacksonville, FL 32207-5307
Phone: (904) 398-6461
Fax: (904) 398-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN 18719 (FL)

Record details

NPI number1902862493
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 24, 2006
Last updated in NPPESJune 16, 2011

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