KIDS FIRST DENTISTRY,INC (NPI# 1821423617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821423617 |
| Entity Type | Organization |
| Organization Name | KIDS FIRST DENTISTRY,INC |
| Practice Address |
4495 Roosevelt Blvd Suite 111 Jacksonville FL 32210-3375 |
| Practice Telephone | 9044231377 |
| Practice Fax Number | 9044231958 |
| Mailing Telephone | 9044231377 |
| Mailing Fax Number | 9044231958 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | DR. JILA J MAHAJAN (CEO) |
| Authorized Official Telephone | 9044231377 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN13919 | FL | Dental Providers |
| Street Address |
4495 ROOSEVELT BLVD SUITE 111 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594493 | Eric Christopher Deussing | Otolaryngology | 4495 Roosevelt Blvd, Suite 304-183, Jacksonville, FL 32210-3375 | 2006-01-27 |
| 1346799004 | Nathan Glen Bialek | Pharmacist | 4495 Roosevelt Blvd, Ste E-1, Jacksonville, FL 32210-3375 | 2016-09-22 |
| 1083090534 | Kurtis PColka | Physical Therapist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2015-08-07 |
| 1215377213 | Paul Leonard | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-07-05 |
| 1548507494 | Richard Jay Roberts | Pharmacist | 4495 Roosevelt Blvd, E1, Jacksonville, FL 32210-3375 | 2013-01-12 |
| 1972840924 | Tara Eden Kendall | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-01-10 |
| 1295072270 | Victoria Anne Mayer | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-01-10 |
| 1376866228 | Dr. Ted Brinks & Associates | Optometrist | 4495 Roosevelt Blvd, 101, Jacksonville, FL 32210-3375 | 2010-03-08 |
| 1124340351 | Jessica Ann Braddock | Physical Therapy Assistant | 4495 Roosevelt Blvd, Suite #317, Jacksonville, FL 32210-3375 | 2010-02-15 |
| 1275682395 | Michael Stephens Family Practice Inc. | Family Medicine | 4495 Roosevelt Blvd, Suite 316, Jacksonville, FL 32210-3375 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701177 | Richard W Blake Dds Pa | Dentist | 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655 | 2013-06-27 |
| 1336405315 | Matthew Allen Swan | Dentist | 3714 Heath Rd Fl 32277, Jacksonville, FL 32277-2045 | 2012-04-04 |
| 1215208947 | Culberson R Boren Dds | Dentist | 1634 S Jackson St, Jacksonville, TX 75766-3028 | 2012-01-26 |
| 1871755512 | Barry Philip Setzer | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| 1639370216 | Thomas Arch Pribisco | Dentist | 10822 Saint Augustine Rd, Jacksonville, FL 32257-1154 | 2007-05-30 |
| 1932317922 | Jodi Eve Mason | Dentist | 2008 Riverside Ave, Suite 101, Jacksonville, FL 32204-4443 | 2007-05-21 |
| 1679606768 | Marzieh Zahedi | Dentist | 14453 Beach Blvd, Suite 100, Jacksonville, FL 32250 | 2007-03-14 |
| 1780734251 | Jila J Mahajan | Dentist | 4495 Roosevelt Blvd Ste 111, Jacksonville, FL 32210-3382 | 2007-01-10 |
| 1558467498 | Barry P Setzer Dds and Stephen D Cochran Dmd Pa | Dentist | 8355 Bayberry Road, Jacksonville, FL 32256 | 2006-09-16 |
| 1912014937 | Pediatric Smiles, Inc | Dentist | 2262 Dunn Ave, Ste 4, Jacksonville, FL 32218 | 2006-08-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.