Individual provider · Type 1 NPI

Raena Patterson

Dentist · Jacksonville, FL

NPI number 1174414619 Active

Practice location

8324 Merchants Way Unit 9
Jacksonville, FL 32222-2946

Mailing address

1485 Fouraker Rd Apt 3410
Jacksonville, FL 32221-7601

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDN30784 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174414619

Raena Patterson's National Provider Identifier is 1174414619, issued on Jul 12, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 15, 2025.