Organization · Type 2 NPI

Comfortable Care Dental Health Professionals. P.a.

General Practice Dentistry · Jacksonville, FL

NPI number 1114755485 Active

Practice location

11919 Atlantic Blvd Unit 101
Jacksonville, FL 32225-2971

Fax (904) 204-9149

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1114755485
Entity type: Organization (Type 2)
Issued: Jul 26, 2024
Last updated: Jul 26, 2024
Status: Active
Subpart: Yes of Comfortable Care Dental Health Professionals, P.a.

Other names

Shore Haven Dentistry · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114755485

Comfortable Care Dental Health Professionals. P.a.'s National Provider Identifier is 1114755485, issued on Jul 26, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 26, 2024.