Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH JACKSONVILLE DENTAL PLLC
Active
Organization
SOUTH JACKSONVILLE DENTAL PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 454-6000
Entity
Organization
Contact information
Practice address
8440 BLANDING BLVD, JACKSONVILLE, FL 32244
(904) 525-8041
(315) 410-5531
Mailing address
8440 BLANDING BLVD, JACKSONVILLE, FL 32244
(904) 525-8041
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up