Nanjappa Shivashankar DDS

NPI 1093854168 - Dentist - 1223G0001X

NPI Details
NPI 1093854168
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE FL, 32223-8663, US
Phone (904) 268-7552
Fax (904) 268-9792
Business Location
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE FL, 32223-8663, US
Phone (904) 268-7552
Fax (904) 268-9792
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number FL9317
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According to our database, Dr. Nanjappa Shivashankar DDS NPI is 1093854168, taxonomy code is 1223G0001X and license number is FL9317, license state is located at Florida. Nanjappa Shivashankar DDS physically located at 12421 San Jose Blvd Ste 2a, Jacksonville FL, 32223-8663. NPI Number Nanjappa Shivashankar DDS has the Individual type.

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1093854168 NPI number is provided on an as is basis without warranty of any kind. 1093854168 is maintained by the National Plan & Provider Enumeration System. The contents of Nanjappa Shivashankar DDS are for informational purposes only.