Bethany Ann Douglas, D.M.D.

Endodontics · Jacksonville, FL

Individual Active NPI

NPI number 1437484128

Practice location

9109 Baymeadows Rd Ste 2
Jacksonville, FL 32256-1842
Phone
(904) 265-1242

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NPI record

NPI
1437484128
Entity type
Individual (Type 1)
Enumeration date
October 14, 2009
Last updated
February 3, 2022
Certified
February 3, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X DN19093 FL
Endodontics 1223E0200X DN014001 GA

Mailing address

1060 Oakvale Rd
St Johns, FL 32259-3823
Phone
(904) 671-3799

About Dr. Douglas

Bethany Ann Douglas, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 9109 Baymeadows Rd Ste 2, Jacksonville, FL 32256-1842. The NPI number 1437484128 was assigned on October 14, 2009 and the record was last updated on February 3, 2022.

Dr. Douglas lists 2 licenses in the registry: #DN19093 (FL) for Endodontics; #DN014001 (GA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Ann Douglas, D.M.D.?

The NPI number is 1437484128.

What is the phone number of Dr. Douglas?

The phone number listed for the practice location is (904) 265-1242.

Where is Dr. Douglas located?

9109 Baymeadows Rd Ste 2, Jacksonville, FL 32256-1842.

What is the taxonomy code for Dr. Douglas?

The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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