Individual provider · Type 1 NPI

Basil Jan

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville, FL

NPI number 1184468357 Active

Practice location

5491 Dolphin Point Blvd
Jacksonville, FL 32211-3221

Call (904) 312-0960 Map

Mailing address

7170 SW 22nd St
Davie, FL 33317-7122

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN28716 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X28716 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1184468357

Basil Jan's National Provider Identifier is 1184468357, issued on Jun 22, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville, FL. The record was last updated on May 5, 2025.