MEDICARE: FLORIDA DENTAL ACQUISITIONS 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	122300000X	Dentist		PA

General Provider Information

NPI Number	:	1730627332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DENTAL ACQUISITIONS P.A

Provider Business Mailing Address
First Line	:	9776 SAN JOSE BLVD STE 7
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5464
Country	:	US
Telephone Number	:	904-268-6751
Fax Number	:

Provider Business Practice Location Address
First Line	:	9776 SAN JOSE BLVD STE 7
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5464
Country	:	US
Telephone Number	:	904-268-6751
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREW DORMESHIAN
Credential	:
Telephone Number	:	917-847-6976

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/03/2017

Similar Medicare Providers

1497822282 — DR. RONALD ELINOFF DDS
Practice Location Address:

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-268-6751
Practice Fax:

1871841379 — DR. AYMEE JARAMILLO RIVAS D.D.S
Practice Location Address:

9776 SAN JOSE BLVD STE 1
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-475-2177
Practice Fax: 904-503-7944

1437517596 — DR. CAMERON A. STEWART, D.C. LLC
Practice Location Address:

9776 SAN JOSE BLVD , STE 3
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-615-6622
Practice Fax:

1225567530 — DR. AUSTIN RICHARD FOWLER DMD
Practice Location Address:

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-268-6751
Practice Fax:

1578113254 — PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC
Practice Location Address:

9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-201-3565
Practice Fax:

1871222331 — KATERINE SALGADO SALGADO DMD
Practice Location Address:

9776 SAN JOSE BLVD STE 1
JACKSONVILLE, FL
32257-5464

Practice Phone: 904-475-2177
Practice Fax:

Directions to “FLORIDA DENTAL ACQUISITIONS 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.