Brandon Greenwalt Dmd Pllc is a Dental Clinic in Jacksonville, Florida. It is located at 12443 San Jose Blvd Ste 101, Jacksonville, FL and its contact number is 904-262-6188. The authorized person for Brandon Greenwalt Dmd Pllc is Dr. Brandon Lee Greenwalt
who is President of the clinic and their contact number is 317-408-5764. The primary license number for Brandon Greenwalt Dmd Pllc is DN19737 (General Practice) in Florida.
Brandon Greenwalt Dmd Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Brandon Greenwalt Dmd Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Brandon Greenwalt Dmd Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 12443 San Jose Blvd Ste 101, Jacksonville,
Florida, 32223-8647 |
| Phone: | 904-262-6188 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Brandon Lee Greenwalt |
| Position: | President |
| Contact Number: | 317-408-5764 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brandon Greenwalt Dmd Pllc clinic are as mentioned below.
| NPI Number: | 1154770733 |
| NPI Enumeration Date: | 06 Jun, 2016 |
| NPI Last Update On: | 06 Jun, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brandon Greenwalt Dmd Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DN19737 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Brandon Greenwalt Dmd Pllc
328 W Kari Ct,
Jacksonville, Florida |
| Zip: | 32259-3320 |
| Phone Number: | 317-408-5764 |
Patients can reach Brandon Greenwalt Dmd Pllc at
12443 San Jose Blvd Ste 101, Jacksonville, Florida or can
call to book an appointment on 904-262-6188.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.