Concourse Dental Care – General Practice Dentistry, NPI 1104306422

Concourse Dental Care is a healthcare provider. based in Yulee, Florida. specializing in General Practice Dentistry. The NPI Number for Concourse Dental Care is 1104306422

Main info

Organization
Name
Concourse Dental Care
NPI
1104306422
Phone
(904) 875-4119
Address
463787 STATE ROAD 200
Authorized Official
JESSICA BRITT CREDENTIALING COORDINATOR
Enumeration Date
16 August 2018
Last Update Date
16 August 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Concourse Dental Care

  • 463787 STATE ROAD 200

    YULEE, FL 320978652

    Phone: (904) 875-4119

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32097)

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Frequently asked questions

What federal number belongs to Concourse Dental Care?
The federal identifier for Concourse Dental Care is NPI 1104306422.
Is Concourse Dental Care's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Concourse Dental Care treat or focus on?
Patients typically see Concourse Dental Care under the specialty General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where does public data place Concourse Dental Care?
The snapshot lists Yulee, Florida for Concourse Dental Care; download NPPES for the complete set.
How can I contact Concourse Dental Care?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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