Susan Prater Kudlats, D.m.d, P.a. is a Dental Clinic in Jacksonville, Florida. It is located at 12620 Beach Blvd Ste 18, Jacksonville, FL and its contact number is 404-509-1292. The authorized person for Susan Prater Kudlats, D.m.d, P.a. is Susan Prater
who is President of the clinic and their contact number is 904-620-0404.
Susan Prater Kudlats, D.m.d, P.a. 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:
Susan Prater Kudlats, D.m.d, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Susan Prater Kudlats, D.m.d, P.a. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 12620 Beach Blvd Ste 18, Jacksonville,
Florida, 32246-7130 |
| Phone: | 404-509-1292 |
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: | Susan Prater |
| Position: | President |
| Contact Number: | 904-620-0404 |
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 Susan Prater Kudlats, D.m.d, P.a. clinic are as mentioned below.
| NPI Number: | 1487123006 |
| NPI Enumeration Date: | 14 Nov, 2018 |
| NPI Last Update On: | 14 Nov, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Prater Kudlats, D.m.d, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | 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: | Susan Prater Kudlats, D.m.d, P.a.
12620 Beach Blvd Ste 18,
Jacksonville, Florida |
| Zip: | 32246-7130 |
| Phone Number: | 404-509-1292 |
Patients can reach Susan Prater Kudlats, D.m.d, P.a. at
12620 Beach Blvd Ste 18, Jacksonville, Florida or can
call to book an appointment on 404-509-1292.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.