Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephen Mario Vultaggio Jr., DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427736701

Stephen Mario Vultaggio Jr., DDS is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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

653 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-2000
Fax: (904) 244-6105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 E 24th St, New York, NY 10010-4020 — (212) 998-9800

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1427736701
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address653 W 8th St, Jacksonville, FL 32209-6511

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