Individual provider · Type 1 NPI
Rafael Martins Afonso Pereira, DDS, MS
Periodontics · Jacksonville, FL
NPI number
1407540776
Active
Practice location
11512 Lake Mead Ave Unit 532
Jacksonville, FL 32256-9733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN30764 (FL) |
| Periodontics Primary | 1223P0300X | DN30764 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
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About NPI 1407540776
Rafael Martins Afonso Pereira, DDS, MS's National Provider Identifier is 1407540776, issued on Jun 7, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 17, 2025.