Advanced Dental Care (Jacksonville South), PLLC
NPI 1619326477ActiveOrganization· Dentist, General Practice· Jacksonville, FL
Dentist, General Practice in Jacksonville, Florida, registered in NPPES in June 2016. The authorized official on file is Stephanie Gomez, Credentialing Coordinator.
Overview
| NPI | 1619326477 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2016 |
| Last updated in NPPES | Jun 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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