Southside Dental at Tinseltown – Preferred Provider Organization, NPI 1275739237

Southside Dental at Tinseltown is a healthcare provider. based in Jacksonville, Florida. specializing in Preferred Provider Organization. The organization holds a License No. DN15716 (FL). The NPI Number for Southside Dental at Tinseltown is 1275739237

Main info

Organization
Name
Southside Dental at Tinseltown
NPI
1275739237
Phone
(904) 998-7000
Address
3545-1 ST. JOHNS BLUFF RD. S.
Authorized Official
CRYSTAL L LESS VP OF OPERATIONS
Enumeration Date
26 June 2007
Last Update Date
26 January 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Southside Dental at Tinseltown

  • 3545, Saint Johns Bluff Road South, Jacksonville, Duval County, Florida, 32224, United States

    SUITE 352

    JACKSONVILLE, FL 32224

    Phone: (904) 998-7000

    Fax: (904) 998-7702

    Type: Mailing

  • 4540, Southside Boulevard, Jacksonville, Duval County, Florida, 32216, United States

    SUITE 801

    JACKSONVILLE, FL 322165492

    Phone: (904) 642-2010

    Fax: (904) 642-8282

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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 32224)

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Reviews

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Frequently asked questions

Can I verify Southside Dental at Tinseltown with an NPI only?
You can start verification with NPI 1275739237 for Southside Dental at Tinseltown, then check state licensing separately.
Does the file indicate Southside Dental at Tinseltown is practicing under active NPI?
Directory data currently reports Southside Dental at Tinseltown as active.
What is Southside Dental at Tinseltown's primary classification?
Preferred Provider Organization is the headline specialty for Southside Dental at Tinseltown here. Clinical services aligned with this taxonomy classification.
What area does Southside Dental at Tinseltown serve?
Southside Dental at Tinseltown's listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
Why does Southside Dental at Tinseltown have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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