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
PATRIOT FAMILY DENTAL PA
Active
Organization
PATRIOT FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHRISTOPHER WIMAN DMD (PRESIDENT)
(904) 731-0432
Entity
Organization
Contact information
Practice address
8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217-4605
(470) 336-2612
Mailing address
8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217-4605
(904) 731-0432
(904) 731-5755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
03/06/2026
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