Mandarin South Dentistry Pa
Dental Clinic
12421 San Jose Blvd Ste 2a, Jacksonville
Florida, 32223-8663
904-268-7552 904-268-9792
Maps & DirectionsMandarin 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.
Comments/ Reviews:
Read all the reviews posted for Mandarin South Dentistry Pa below. You may also share your own experience with Mandarin South Dentistry Pa. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.