Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811303183 Individual Practitioner Male Practitioner

Dr. Kevin Christopher Wiman , DMD

Dentist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Wiman, DMD is a registered healthcare professional specializing in Dentist in Jacksonville, FL. Practice services are available at 8823 GOODBYS EXECUTIVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8823 Goodbys Executive Dr

Jacksonville, FL 322174605

Telephone 4703362612
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
295 Specialists

Practicing in Jacksonville, FL (6414 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: 2026-03-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN27643

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Joseph Boulter , DMD

Dentist - General Practice

NPI 1053381632

Doctor of Dental Medicine

Dr. Sydney Bates , DMD

Dentist - General Practice

NPI 1225870074

Doctor of Dental Medicine

NPI 1851964001

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 06, 2025

Registered at 8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 322174605 (Tel: 4703362612)

📍
Updated Business Mailing Address October 06, 2025

Registered at 8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 322174605 (Tel: 4703362612)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2025

Dentist (License #DN27643 in FL)

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2014

Registered at 315 MCHUGH BLVD, COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 285420130 (Tel: 9104512208)

📍
Updated Business Mailing Address July 08, 2014

Registered at 315 MCHUGH BLVD, COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 285420130 (Tel: 9104512208)

👤
Provider Name / Credentials Updated July 08, 2014

Recorded as KEVIN WIMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Dentist (License #8378 in SC)

🟢
Initial NPI Registration & Enumeration July 08, 2014

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: 1811303183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: March 06, 2026
Sole Proprietor: Yes

Mailing Address

8823 Goodbys Executive Dr

Jacksonville, FL 322174605

Phone: 9047310432

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.