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

Vadim A Vankov, DMD

Individual provider General Practice Dentistry · NPI 1861044208

Vadim A Vankov, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
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

9920 Southside Blvd
Jacksonville, FL 32256
Phone: (904) 662-6337
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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 DN24361 (FL)

Record details

NPI number1861044208
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESApril 22, 2021
Certification dateMarch 29, 2021

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