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

Jessica Proctor, DMD

Individual provider Dentist · NPI 1427464353

Jessica Proctor, DMD is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

1550 Fouraker Rd
Jacksonville, FL 32221-7606
Phone: (904) 783-0917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN20599 (FL)

Record details

NPI number1427464353
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address4689 Us Highway 17, Suite 6, Fleming Island, FL 32003-4831

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