Independent US Healthcare Provider Directory & Public Medical Database
TRUE-MEDINFO Logo
TRUE-MEDINFO US Healthcare & Provider Directory
Active NPI 1952089609 Individual Practitioner Male Practitioner

Cordaryl Lee Whitehead

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Cordaryl Whitehead is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 12517 YELLOW BLUFF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12517 Yellow Bluff Rd

Jacksonville, FL 322263809

Telephone 9042047496
Associated Practice Facility / Clinic
🏢 Comfortable Care Dental Health Professionals, P.a. Facility NPI 1194474445

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: 2023-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN28351

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

1 Associated Practitioners
Dr. Lorraine Clark , DMD

Dentist - General Practice

NPI 1467475129

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2023

Registered at 12517 YELLOW BLUFF RD, JACKSONVILLE, FL 322263809 (Tel: 9042047496)

📍
Updated Business Mailing Address July 17, 2023

Registered at 9743 WATERSHED DR S, JACKSONVILLE, FL 322200903 (Tel: 2054962310)

👤
Provider Name / Credentials Updated July 17, 2023

Recorded as CORDARYL WHITEHEAD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Dentist (License #DN28351 in FL)

🟢
Initial NPI Registration & Enumeration July 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cordaryl Whitehead. Be the first to share your experience!

Sign in to leave a review for Cordaryl Whitehead

Only verified registered users can submit ratings, post feedback, and upload facility photos.

Sign In Create Account

NPI Administrative Meta

NPI Number: 1952089609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2023
Last Update: July 17, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9743 Watershed Dr S

Jacksonville, FL 322200903

Phone: 2054962310

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.