DR. MATTHEW JACKSON HENRY (NPI# 1902967177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902967177 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JACKSON HENRY |
| Credential | DDS |
| Practice Address |
14054 Beach Blvd Ste 10 Jacksonville FL 32250-1596 |
| Mailing Address |
13624 Marsh Harbor Dr N Jacksonville FL 32225-2641 |
| Practice Telephone | 3053360554 |
| Mailing Telephone | 3053360554 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16175 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695946 | Matthew Christopher Henry | Emergency Medical Technician, Basic | 5550 N Walnut St, Macungie, PA 18062-1323 | 2005-10-31 |
| 1285632596 | Matthew Thomas Henry | Physical Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2005-07-11 |
| 1063032068 | Matthew J Henry | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-04-20 |
| 1013399005 | Matthew Henry | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd, Ste 114, Eglin Afb, FL 32542-1302 | 2015-06-25 |
| 1487942942 | Matthew Henry | Case Manager/Care Coordinator | 1000 S Houston Ave, Russellville, AR 72801-5816 | 2011-07-19 |
| 1295056026 | Matthew Henry | Anesthesiology | One Hospital Dr, Columbia, MO 65212 | 2010-06-16 |
| 1154561926 | Matthew Henry | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2009-03-05 |
| 1902005242 | Matthew Jacob Henry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Port Washington Blvd, Suite G01, Roslyn, NY 11576-1347 | 2007-07-17 |
| 1295746196 | Matthew Aaron Henry | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2006-08-10 |
| 1134140932 | Matthew Noel Henry | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-07-21 |
| Street Address |
14054 BEACH BLVD STE 10 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072464 | Professional Dental Alliance of Jacksonville Beach, Pllc | Dentist | 14054 Beach Blvd Ste 10, Jacksonville, FL 32250-1596 | 2020-01-17 |
| 1154890267 | Matthew J Henry Dds Pl | Clinic/Center | 14054 Beach Blvd Ste 10, Jacksonville, FL 32250-1596 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. MATTHEW JACKSON HENRY.
| 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.