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Advanced Dental Care (Jacksonville South), Pllc

General Practice Dentistry in Jacksonville, FL · enumerated 2016 · authorized official Stephanie Gomez, Credentialing Coordinator.

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

National Provider Identifier

1619326477

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dental Care (Jacksonville South), Pllc
Practice address 3667 Crown Point Rd, Jacksonville, FL, 32257
Phone (305) 274-2499
Enumeration date Jun 11, 2016
Last updated in NPPES Jun 11, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Stephanie Gomez
Title Credentialing Coordinator
Phone (305) 274-2499

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 Advanced Dental Care (Jacksonville South), Pllc?
NPPES lists Stephanie Gomez (Credentialing Coordinator) as the authorized official for this organization.
What is the NPI number for Advanced Dental Care (Jacksonville South), Pllc?
The NPI for Advanced Dental Care (Jacksonville South), Pllc is 1619326477, 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 2016-06-11.