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Jacksonville Dental Specialists

NPI 1568915387ActiveOrganization· Dentist, Prosthodontics· Jacksonville, FL

Dentist, Prosthodontics in Jacksonville, Florida, registered in NPPES in July 2016, part of Jacksonville Dental Specialists. The authorized official on file is Lydia Cuevas, Practice Coordinator.

Overview

NPI1568915387
StatusActive
Entity typeOrganization (subpart)
Parent organizationJacksonville Dental Specialists
NPI issuedJul 28, 2016
Last updated in NPPESJul 28, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700XDN18280FL
Dentist, Periodontics1223P0300XDN16648FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, Prosthodontics providers in Jacksonville

All 19 Dentist, Prosthodontics providers in Jacksonville · All Dentist, Prosthodontics providers in Florida