Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184766545 Individual Practitioner Male Practitioner

Dr. Anthony Lamar Davis , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at NBHC MAYPORT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Nbhc Mayport
2104 Massey Avenue, Dental Dept

Jacksonville, FL 32228

Telephone 9042704460

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 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: 2023-08-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN19529

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401412732

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Franklin Hart , DDS

Dentist - Prosthodontics

NPI 1013979681

Doctor of Dental Surgery

Stephanie Lawler , CRDH

Dental Hygienist

NPI 1114615184
Dr. Sandra Hernandez , DMD

Dentist - General Practice

NPI 1245293448

Doctor of Dental Medicine

Amanda Kerlin , CRDH

Dental Hygienist

NPI 1336807130
NPI 1598778904

Doctor of Dental Surgery

NPI 1609164987

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 09, 2023

Registered at NBHC MAYPORT, 2104 MASSEY AVENUE, DENTAL DEPT, JACKSONVILLE, FL 32228 (Tel: 9042704460)

📍
Updated Business Mailing Address August 09, 2023

Registered at NBHC MAYPORT, 2104 MASSEY AVENUE, DENTAL DEPT, JACKSONVILLE, FL 32228 (Tel: 9042704460)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Dentist (License #0401412732 in VA)

NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2017

Registered at 9119 MERRILL RD, JACKSONVILLE, FL 322254312 (Tel: 9047447202)

📍
Updated Business Mailing Address February 13, 2017

Registered at 9119 MERRILL RD, SUITE 29, JACKSONVILLE, FL 322254312 (Tel: 9047447202)

👤
Provider Name / Credentials Updated February 13, 2017

Recorded as ANTHONY DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Dentist (License #DN19529 in FL)

NPI Profile Active May 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2013

Registered at USS IWO JIMA (LHD-7), DENTAL DEPARTMENT, FPO, AE 095741664 (Tel: 9046547200)

📍
Updated Business Mailing Address May 16, 2013

Registered at USS IWO JIMA (LHD-7), DENTAL DEPARTMENT, FPO, AE 095741664 (Tel: 9046547200)

👤
Provider Name / Credentials Updated May 16, 2013

Recorded as ANTHONY DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2013

Dentist (License #0401412732 in VA)

🟢
Initial NPI Registration & Enumeration February 13, 2007

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: 1184766545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: August 09, 2023
Sole Proprietor: No

Mailing Address

Nbhc Mayport, 2104 Massey Avenue, Dental Dept

Jacksonville, FL 32228

Phone: 9042704460

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.