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Haeussner Dental Group

General Practice Dentistry in Orange Park, FL · enumerated 2007 · authorized official Theodore Haeussner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174642375

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Registry record

Entity type Organization (Type 2)
Legal business name Haeussner Dental Group
Practice address 1409 Kingsley Ave, Bldg. #11, Orange Park, FL, 32073
Fax (904) 264-0474
Enumeration date Mar 28, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License DN 6384 (FL) Primary

Authorized official

Name Theodore Haeussner
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Haeussner Dental Group?
NPPES lists Theodore Haeussner (President) as the authorized official for this organization.
What is the NPI number for Haeussner Dental Group?
The NPI for Haeussner Dental Group is 1174642375, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.