Organization · Type 2 NPI

Soh of Florida PA

Dentist · Orange Park, FL

NPI number 1407630148 Active

Practice location

1584 Kingsley Ave Ste A
Orange Park, FL 32073-4515

Call (904) 990-0926 Map

Mailing address

1190 Meramec Station Rd Ste 110
Ballwin, MO 63021-6902

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

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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NPI record

NPI: 1407630148
Entity type: Organization (Type 2)
Issued: Aug 23, 2023
Last updated: Sep 28, 2026
Status: Active
Subpart: Yes of Soh of Florida PA

Other names

<unavail>
North Florida Dentistry · doing business as
North Florida Dentistry · doing business as

Authorized official

Ashly Sunshine
Credentialing Specialist
(314) 413-2803

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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 1407630148

Soh of Florida PA's National Provider Identifier is 1407630148, issued on Aug 23, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Orange Park, FL. The record was last updated on Sep 28, 2026.