Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770369589 Individual Practitioner Male Practitioner

Jackson Caggiano

Dentist - General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jackson Caggiano is a registered healthcare professional specializing in Dentist - General Practice in St Augustine, FL. Practice services are available at 1980 US 1 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1980 Us 1 S

St Augustine, FL 320864233

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in St Augustine, 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: 2023-09-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 28571

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.

Secondary Practice Locations

1980 Us 1 S

St Augustine, FL 320864233

Phone: 9042012416

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jared Watts , DDS

Dentist - General Practice

NPI 1780935486

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 September 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2023

Registered at 1980 US 1 S, ST AUGUSTINE, FL 320864233

📍
Updated Business Mailing Address September 06, 2023

Registered at 250 MOULTRIE LANDING BLVD, ST AUGUSTINE, FL 320865967

👤
Provider Name / Credentials Updated September 06, 2023

Recorded as JACKSON CAGGIANO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2023

Dentist (License #28571 in FL)

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Initial NPI Registration & Enumeration September 06, 2023

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: 1770369589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2023
Last Update: September 06, 2023
Sole Proprietor: Yes

Mailing Address

250 Moultrie Landing Blvd

St Augustine, FL 320865967

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.