Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457499410 Individual Practitioner Male Practitioner

Dr. Eugene Katibah , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Katibah, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 943 CESERY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

943 Cesery Blvd

Jacksonville, FL 322115635

Telephone 9047446244
Associated Practice Facility / Clinic
🏢 Samuel B. Gaskins Iv Dmd Pa Facility NPI 1598811754

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 3347

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

17 Associated Practitioners
Valerie Brink , LMHC

Counselor - Mental Health

NPI 1043321458

Licensed Mental Health Counselor

NPI 1104341601
Howard Wright

Counselor - Mental Health

NPI 1144769712
Dr. Samuel Gaskins , DMD

Dentist - General Practice

NPI 1245587609

Doctor of Dental Medicine

Ronald Sloan , LCSW

Social Worker - Clinical

NPI 1265535421

Licensed Clinical Social Worker

Wanda Banks

Counselor

NPI 1295250165

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 943 CESERY BLVD, JACKSONVILLE, FL 322115635 (Tel: 9047446244)

📍
Updated Business Mailing Address July 08, 2007

Registered at 943 CESERY BLVD, JACKSONVILLE, FL 322115635

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE KATIBAH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3347 in FL)

🟢
Initial NPI Registration & Enumeration February 02, 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: 1457499410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

943 Cesery Blvd

Jacksonville, FL 322115635

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.