Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336972082 Individual Practitioner Female Practitioner

Dr. Dipti Kanchan , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dipti Kanchan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 1036 DUNN AVE STE 42 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1036 Dunn Ave Ste 42

Jacksonville, FL 322186365

Telephone 9047149909
Fax 9047464286
Associated Practice Facility / Clinic
🏢 Ulery Dental And Orthodontics Facility NPI 1235721903

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: 2024-08-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN29559

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

7 Associated Practitioners
Annie Vu

Dentist - General Practice

NPI 1184188120
Dr. Bryce Gabler , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1235551458

Doctor of Dental Medicine

Dr. Diana Kinyua , DMD

Dentist - General Practice

NPI 1316320369

Doctor of Dental Medicine

Dr. Joseph De Jesus , DDS

Dentist - General Practice

NPI 1376996652

Doctor of Dental Surgery

Dr. Derek Espino , DMD

Dentist - General Practice

NPI 1518255561

Doctor of Dental Medicine

Dr. Derrick Mitchell , DDS

Dentist - General Practice

NPI 1578823985

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2024

Registered at 1036 DUNN AVE STE 42, JACKSONVILLE, FL 322186365 (Tel: 9047149909)

📍
Updated Business Mailing Address August 20, 2024

Registered at 600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 327467122 (Tel: 4075438514)

👤
Provider Name / Credentials Updated August 20, 2024

Recorded as DIPTI KANCHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2024

Dentist (License #DN29559 in FL)

🟢
Initial NPI Registration & Enumeration August 20, 2024

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: 1336972082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2024
Last Update: August 20, 2024
Sole Proprietor: No

Mailing Address

600 Technology Park Ste 101

Lake Mary, FL 327467122

Phone: 4075438514

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.