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

The Jesus Clinic Inc

Organization General Practice Dentistry · NPI 1588512511

The Jesus Clinic Inc provides General Practice Dentistry in Daytona Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1630 Mason Ave Ste A
Daytona Beach, FL 32117-4503
Phone: (386) 253-6959
Fax: (386) 253-6957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1588512511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Rundall — Office Manager · (386) 576-7076
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1630 Mason Ave Ste A, Daytona Beach, FL 32117-4503

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