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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BASIL JAN

Active Sole Proprietor

BASIL JAN is a Orthodontics healthcare provider located in JACKSONVILLE, Florida. NPI 1184468357 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · JACKSONVILLE, FL

Registration Details

NPI Number
1184468357
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2024 (2.1406533405514 yrs)
Last Updated
May 5, 2025
Licenses
DN28716 (FL)
28716 (FL)
Sole Proprietor
Yes

Practice Information

Address
5491 DOLPHIN POINT BLVD
JACKSONVILLE, FL, 322113221
Browse FL providers · Browse ZIP 32211
Phone
9043120960
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in JACKSONVILLE, FL

Name Credential NPI
DR. AMY LYNN COUNTS DDS,MSD,MSM 1093712879
DAVID TOD GARNER DDS 1902805997
DR. LEANDRA MOORE S. ANTONIO-JOSE D.D.S. 1902862493
MS. VALERIE J. V. MINOR DMS, MS 1003826538
DR. KAREN ELIZABETH KOEHLER DDS MS 1376659250
DR. DANIEL JOSEPH SCHELLHASE DDS MS 1003922980
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.