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

Dr. Susan Prater Kudlats, DMD

Individual provider Dentist · NPI 1689803041

Dr. Susan Prater Kudlats, DMD is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

12620 Beach Blvd Ste 18
Jacksonville, FL 32246
Phone: (706) 738-6516
Fax: (706) 262-6518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN21768 (FL)

Record details

NPI number1689803041
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESMarch 25, 2024

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