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

Tim T. Van, DMD

Individual provider Dentist · NPI 1881047132

Tim T. Van, DMD is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
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

9861-1 Beach Blvd
Jacksonville, FL 32246-4782
Phone: (904) 565-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN 22156 (FL)
Dentist Taxonomy 122300000X · Licence DN22156 (FL)

Record details

NPI number1881047132
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESApril 28, 2024
Certification dateApril 28, 2024
Mailing address2641 S Woodland Blvd, Deland, FL 32720-8601

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