SearchFloridaDentist

Kevin Wiman, DMD

NPI 1811303183 · on the registry since 2014 · sole proprietor

Practice

Address
8823 Goodbys Executive Dr
Jacksonville, FL 32217
Phone
(470) 336-2612
Organisation at this address
Patriot Family Dental Pa
Joseph R. Boulter, D.M.D., M.A.G.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida