MEDICARE: DENTAL SUMMIT PLLC

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	1223P0700X	Prosthodontics	DN20907	FL

General Provider Information

NPI Number	:	1588172571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL SUMMIT PLLC

Provider Business Mailing Address
First Line	:	324 3RD AVE N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-5602
Country	:	US
Telephone Number	:	904-246-6714
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 3RD AVE N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-5602
Country	:	US
Telephone Number	:	904-246-6714
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NODESH BANGALORE SHYAMSUNDER
Credential	:	BDS
Telephone Number	:	904-246-6714

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	01/12/2018

Similar Medicare Providers

1073740114 — DR. JASLEEN KAUR RAINA D.D.S.
Practice Location Address:

324 3RD AVE N
JACKSONVILLE BEACH, FL
32250-5602

Practice Phone: 904-246-6714
Practice Fax:

1720487135 — DR. NODESH SHYAMSUNDER B.D.S
Practice Location Address:

324 3RD AVE N
JACKSONVILLE BEACH, FL
32250-5602

Practice Phone: 904-246-6714
Practice Fax:

1447335989 — F.A.C.T. SPECIALIZED SERVICES, LLC
Practice Location Address:

120 HENDERSON DR STE A&B
JACKSONVILLE, NC
28540-5602

Practice Phone: 910-346-3744
Practice Fax: 910-346-5344

1811040645 — APEX BEHAVIORAL HEALTHCARE
Practice Location Address:

126 HENDERSON DR
JACKSONVILLE, NC
28540-5602

Practice Phone: 910-238-4348
Practice Fax: 910-238-4347

1780858837 — MS. JUDITH UHRICK MSW, ACSW, LCSW
Practice Location Address:

126 HENDERSON DR
JACKSONVILLE, NC
28540-5602

Practice Phone: 910-545-1931
Practice Fax:

1952621237 — DR. HARVEY B SHER M.D.
Practice Location Address:

2742 BEAUCLERC RD
JACKSONVILLE, FL
32257-5602

Practice Phone: 904-737-1798
Practice Fax:

Directions to “DENTAL SUMMIT PLLC ” 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.