Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982676508 Individual Practitioner Male Practitioner

Dr. Masoud Eghtedari , DDS

Dentist - Prosthodontics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Masoud Eghtedari, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Jacksonville, FL. Practice services are available at BLDG H 2005 KNIGHT LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Bldg H 2005 Knight Lane
Navy Medicine Support Command Attn: Medical Staff Svcs

Jacksonville, FL 322120140

Telephone 8585774725
Associated Practice Facility / Clinic
🏢 United Stated Navy Facility NPI 1760834980

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 43.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Jacksonville, FL (290 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 - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License LA 4777

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1083964100

Doctor of Dental Surgery

NPI 1114151453

Registered Pharmacist

Dr. Tae Kim , DMD

Dentist - General Practice

NPI 1154842797

Doctor of Dental Medicine

Amy Tramaloni , NNP

Nurse Practitioner - Neonatal, Critical Care

NPI 1225315617
Shay Razmi

Dentist - General Practice

NPI 1235122862
Dr. Di Khoo , MD

Military Health Care Provider

NPI 1265753131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2009

Registered at BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 322120140 (Tel: 8585774725)

📍
Updated Business Mailing Address February 03, 2009

Registered at PSC 819 BOX18-328, FPO AE, SPAIN 09645 (Tel: 01134956823768)

👤
Provider Name / Credentials Updated February 03, 2009

Recorded as MASOUD EGHTEDARI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2009

Dentist (License #4777 in LA)

🟢
Initial NPI Registration & Enumeration February 07, 2006

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: 1982676508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: February 03, 2009
Sole Proprietor: No

Mailing Address

Psc 819 Box18-328

Fpo Ae, SPAIN 09645

Phone: 01134956823768

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.