MEDICARE: RIVER CITY PEDIATRIC DENTISTRY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	DN18271	FL

General Provider Information

NPI Number	:	1952648396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER CITY PEDIATRIC DENTISTRY, P.A.

Provider Business Mailing Address
First Line	:	9857 OLD SAINT AUGUSTINE RD
Second Line	:	SUITE 3
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8853
Country	:	US
Telephone Number	:	904-880-5437
Fax Number	:	904-880-1490

Provider Business Practice Location Address
First Line	:	9857 OLD SAINT AUGUSTINE RD
Second Line	:	SUITE 3
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8853
Country	:	US
Telephone Number	:	904-880-5437
Fax Number	:	904-880-1490

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LINDSAY GREMILLION MAPLES
Credential	:	DMD
Telephone Number	:	904-880-5437

Provider Enumeration Date	:	01/04/2013
Last Update Date	:	01/04/2013

Similar Medicare Providers

1205892700 — MRS. PATRICIA CAROLINE PAREKH M.S.
Practice Location Address:

9857 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32257-8853

Practice Phone: 904-880-9001
Practice Fax: 904-880-9007

1205969326 — MR. SAMUEL B CABRA CCC-SLP
Practice Location Address:

9857 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32257-8853

Practice Phone: 904-880-9001
Practice Fax:

1205031523 — SUSAN G. ALLEN SPEECH PATHOLOGIST
Practice Location Address:

9857 SAINT AUGUSTINE RD , SUITE 6
JACKSONVILLE, FL
32257-8853

Practice Phone: 904-880-9001
Practice Fax:

1386891778 — MAUREEN O'BRIEN M.D.
Practice Location Address:

9857 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
32257-8853

Practice Phone: 904-260-4461
Practice Fax: 904-861-1914

1891931267 — MISS MARIA VANESSA COMIA SALVADOR M.E.D.
Practice Location Address:

9857 OLD SAINT AUGUSTINE RD , SUITE 6
JACKSONVILLE, FL
32257-8853

Practice Phone: 904-880-9001
Practice Fax:

1760809115 — ANDRIEAH JOHNSON LMHC, CAMS, CCTP
Practice Location Address:

1222 CLOCK ST
JACKSONVILLE, FL
32211-8853

Practice Phone: 904-577-0087
Practice Fax: 844-846-2463

Directions to “RIVER CITY PEDIATRIC DENTISTRY, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.