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

Jackson Caggiano

Individual provider General Practice Dentistry · NPI 1770369589

Jackson Caggiano is a General Practice Dentistry in St Augustine, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Partly verified

Some contact details are missing from the federal record.

1980 US 1 S
St Augustine, FL 32086-4233
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Additional practice locations (1)

  • 1980 Us 1 S, St Augustine, FL 32086-4233 — (904) 201-2416

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 28571 (FL)

Record details

NPI number1770369589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address250 Moultrie Landing Blvd, St Augustine, FL 32086-5967

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