Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437484128 Individual Practitioner Female Practitioner

Dr. Bethany Ann Douglas , DMD

Dentist - Endodontics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bethany Douglas, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Jacksonville, FL. Practice services are available at 9109 BAYMEADOWS RD STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9109 Baymeadows Rd Ste 2

Jacksonville, FL 322561842

Telephone 9042651242

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: 2022-02-03
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN19093

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License GA DN014001

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
Dr. Robert Swindle , DMD

Dentist - Endodontics

NPI 1568508661

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 03, 2022

Registered at 9109 BAYMEADOWS RD STE 2, JACKSONVILLE, FL 322561842 (Tel: 9042651242)

📍
Updated Business Mailing Address February 03, 2022

Registered at 1060 OAKVALE RD, ST JOHNS, FL 322593823 (Tel: 9046713799)

NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2012

Registered at 1414 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 320734591 (Tel: 9042694201)

📍
Updated Business Mailing Address June 13, 2012

Registered at 6371 AUTUMN BERRY CIR, JACKSONVILLE, FL 322588416

👤
Provider Name / Credentials Updated June 13, 2012

Recorded as BETHANY DOUGLAS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Dentist (License #DN19093 in FL)

🟢
Initial NPI Registration & Enumeration October 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437484128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2009
Last Update: February 03, 2022
Sole Proprietor: No

Mailing Address

1060 Oakvale Rd

St Johns, FL 322593823

Phone: 9046713799

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.