Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlson Dental Group Providers, LLC

Organization General Practice Dentistry · NPI 1265867691

Carlson Dental Group Providers, LLC provides General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13241 Bartram Park Blvd Bldg 1700
Jacksonville, FL 32258-5212 Not confirmed with CMS for 13 years — call before visiting
Phone: (904) 262-8409
Fax: (904) 262-4012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN19024 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN20275 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN18532 (FL)

Record details

NPI number1265867691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Carlson — Owner · (904) 262-8409
NPI enumeratedSeptember 4, 2013
Last updated in NPPESSeptember 4, 2013
Mailing address13241 Bartram Park Blvd, Bldg 1700, Jacksonville, FL 32258-5212

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