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

Carlson Dental Group Riverside, PA

Organization Dentist · NPI 1801283387

Carlson Dental Group Riverside, PA provides Dentist services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Riverside Ave Ste 104
Jacksonville, FL 32202-4934 Not confirmed with CMS for 11 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

Dentist (primary) Taxonomy 122300000X · Licence 10002 (FL)

Record details

NPI number1801283387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Kauffman — Office Manager · (904) 262-8409
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address13241 Bartram Park Blvd, Bldg 1700, Jacksonville, FL 32258-5212

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