ORRIN D. MITCHELL D.D.S. P.A. NPI 1083999114

NPI Information

NPI: 1083999114
Provider Name: ORRIN D. MITCHELL, D.D.S., P.A.

Doing Business As: JACKSONVILLE ORTHODONTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1190 EDGEWOOD AVE W
SUITE A
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-6000
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ORRIN D. MITCHELL, D.D.S., P.A. is a dental clinic center in Jacksonville, FL. ORRIN D. MITCHELL, D.D.S., P.A. NPI is 1083999114. The provider is registered as an organization entity type.
The provider Is Doing Business As Jacksonville Orthodontics.

The provider's business location address is:

1190 EDGEWOOD AVE W
SUITE A
JACKSONVILLE, FL
ZIP 32208-419
Phone: (904) 766-6000
Fax: (904) 766-6003

The provider's authorized official is Orrin D. Mitchell .
The authorized official title is Orthodontist and has the following contact phone number (904) 766-6000.

The CLIA number assigned to this NPI record is 10D2176855 - other - communtiy based org. with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN 6224	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6726890001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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