Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacksonville Emergency Dental, PA

Organization Dentist · NPI 1184874372

Jacksonville Emergency Dental, PA provides Dentist services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

1716 University Blvd S
Jacksonville, FL 32216-8929 Not confirmed with CMS for 18 years — call before visiting
Phone: (904) 224-0046
Fax: (904) 224-0699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16459 (FL)

Record details

NPI number1184874372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Thomasino — President · (904) 224-0046
NPI enumeratedSeptember 24, 2008
Last updated in NPPESSeptember 24, 2008
Mailing address1716 University Blvd S, Jacksonville, FL 32216-8929

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