Provider record
Kenneth A Mertz DMD
Kenneth A Mertz DMD has a source-reported CMS NPPES record for Public Health Dentistry in Jacksonville, FL. MyCareRoute shows the NPI, entity type, taxonomy, practice address, reported phone, and source checked date from public data.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
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Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1003882184
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1722 University Blvd.
Jacksonville, FL 32216 - Phone
- (904) 253-1240
Directions
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How to verify this record
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223D0001X
- Specialty
- Public Health Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026
Additional NPPES taxonomy rows
Other dental taxonomy entries reported to NPPES for this NPI.
- 1223G0001X
- General Practice Dentistry
General Practice