Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366904229 Individual Practitioner Male Practitioner

Jacob Prows

Dentist - Endodontics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Jacob Prows is a registered healthcare professional specializing in Dentist - Endodontics in Jacksonville, FL. Practice services are available at 11806 ATLANTIC BLVD STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11806 Atlantic Blvd Ste 4

Jacksonville, FL 322252968

Telephone 9049993386

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Jacksonville, FL (536 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN29907

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1528636461

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address October 09, 2025

Registered at 11806 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 322252968 (Tel: 9049993386)

📍
Updated Practice Location August 05, 2025

Registered at 11806 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 322252968 (Tel: 9548540872)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Dentist (License #DN29907 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Dentist (License #9402 in SC)

NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2019

Registered at NAVAL HOSPITAL BEAUFORT, 1 PINCKNEY BLVD, BUILDING 1, BEAUFORT, SC 29902 (Tel: 8432285600)

📍
Updated Business Mailing Address April 01, 2019

Registered at NAVAL HOSPITAL BEAUFORT, 1 PINCKNEY BLVD, BOX 6216A, BUILDING 1, BEAUFORT, SC 29902

👤
Provider Name / Credentials Updated April 01, 2019

Recorded as JACOB PROWS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366904229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

11806 Atlantic Blvd Ste 4

Jacksonville, FL 322252968

Phone: 9049993386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.