OAKTREE DENTAL LLC – NPI #1093327702
Clinic/Center

OAKTREE DENTAL LLC is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1093327702 to OAKTREE DENTAL LLC on August 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OAKTREE DENTAL LLC below.

NPI Profile for
OAKTREE DENTAL LLC

NPI Number
1093327702
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OAKTREE DENTAL LLC
Primary location
14595 PHILIPS HIGHWAY
JACKSONVILLE, FL 32256
Phone: (904) 379-9268 Fax:
Mailing address
109 AZALEA PL
NEPTUNE BEACH, FL 32266-6013
Phone: (404) 543-5366 Fax:
Organization Subpart
No
Authorized Official
AARON EVENS
OWNER
Phone: (904) 955-1151
Updated
Certification Date
Aug 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.