Mandarin South Dentistry Pa is a Dental Clinic in Jacksonville, Florida. It is located at 12421 San Jose Blvd Ste 2a, Jacksonville, FL and its contact number is 904-268-7552. The authorized person for Mandarin South Dentistry Pa is Dr. Nanjappa Shivashanakr
who is President of the clinic and their contact number is 904-268-7552. The primary license number for Mandarin South Dentistry Pa is DN9317 (Dentist) in Florida. Mandarin South Dentistry Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mandarin South Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mandarin South Dentistry Pa
Specialization:
Dentistry
Clinic Address:
12421 San Jose Blvd Ste 2a, Jacksonville, Florida, 32223-8663
Phone:
904-268-7552
Fax:
904-268-9792
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Nanjappa Shivashanakr
Position:
President
Contact Number:
904-268-7552
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mandarin South Dentistry Pa clinic are as mentioned below.
NPI Number:
1699218800
NPI Enumeration Date:
21 Nov, 2016
NPI Last Update On:
21 Nov, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mandarin South Dentistry Pa are as mentioned below.
Specialization
License Number
State
Status
Dentist
DN9317
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12
Other
Florida
Dentist
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mandarin South Dentistry Pa 12421 San Jose Blvd Ste 2a, Jacksonville, Florida
Zip:
32223-8663
Phone Number:
904-268-7552
Fax Number:
904-268-9792
Patients can reach Mandarin South Dentistry Pa at 12421 San Jose Blvd Ste 2a, Jacksonville, Florida or can call to book an appointment on 904-268-7552. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.