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Matthew Jurcak, D.M.D.

Dentist in Jacksonville, FL. Individual provider (NPI-1).

NPI number1508240656
StatusActive
Last updated in NPPESJul 17, 2015

Details

NPI
1508240656
Entity type
Individual (NPI-1)
Name
Matthew Jurcak
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2015
Last updated
Jul 17, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist30024538OHYes

Practice location

2005 Knight Lane Bldg H Navy Medicine Support Command
Attn: Medical Staff Svcs
Jacksonville, FL 32212-0140

Phone 760-725-3213

Mailing address

Navy Medicine Support Command Attn: Medical Staff Svcs
Bldg H 2005 Knight Lane
Fpo, AA 32212-0140

Phone 760-725-3213

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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