Jacksonville Dental Specialists
Periodontology Clinic
11512 Lake Mead Ave, Ste. 532, Jacksonville
Florida, 32256-9680
904-460-4201 904-683-3914
Maps & DirectionsJacksonville Dental Specialists is a Periodontology Clinic in Jacksonville, Florida. This organization is also known as sub part of Jacksonville Dental Specialists. It is located at 11512 Lake Mead Ave, Ste. 532, Jacksonville, FL and its contact number is 904-460-4201. The authorized person for Jacksonville Dental Specialists is Lydia Cuevas
who is Practice Coordinator of the clinic and their contact number is 904-683-4781. The primary license number for Jacksonville Dental Specialists is DN18280 (Prosthodontics) in Florida.
Jacksonville Dental Specialists Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Jacksonville Dental Specialists Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jacksonville Dental Specialists |
| Specialization: | Periodontology |
| Clinic Address: | 11512 Lake Mead Ave, Ste. 532, Jacksonville,
Florida, 32256-9680 |
| Phone: | 904-460-4201 |
| Fax: | 904-683-3914 |
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: | Lydia Cuevas |
| Position: | Practice Coordinator |
| Contact Number: | 904-683-4781 |
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 Jacksonville Dental Specialists clinic are as mentioned below.
| NPI Number: | 1568915387 |
| Parent Organization: | Jacksonville Dental Specialists |
| NPI Enumeration Date: | 28 Jul, 2016 |
| NPI Last Update On: | 28 Jul, 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 Jacksonville Dental Specialists are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthodontics | DN18280 | Florida | Primary | |
| Periodontics | DN16648 | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacksonville Dental Specialists
11512 Lake Mead Ave, Ste. 532
Jacksonville, Florida |
| Zip: | 32256-9680 |
| Phone Number: | 904-460-4201 |
| Fax Number: | 904-683-3914 |
Patients can reach Jacksonville Dental Specialists at
11512 Lake Mead Ave, Ste. 532, Jacksonville, Florida or can
call to book an appointment on 904-460-4201.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.