Dr. Nanjappa Shivashankar is a Jacksonville, Florida based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nanjappa Shivashankar is
FL9317 for General Practice Dentistry in Florida. His current practice location is
12421 San Jose Blvd Ste 2a, Jacksonville. Patients can reach him at
904-268-7552.
Dr. Nanjappa Shivashankar is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nanjappa Shivashankar speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Nanjappa Shivashankar |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12421 San Jose Blvd Ste 2a, Jacksonville,
Florida, 32223-8663 |
| Phone: | 904-268-7552 |
| Fax: | 904-268-9792 |
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 are as mentioned below.
| NPI Number: | 1093854168 |
| NPI Enumeration Date: | 05 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nanjappa Shivashankar are as mentioned below.
| License Number | Specialization | State | Status | |
| FL9317 | General Practice Dentistry | Florida | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12421 San Jose Blvd Ste 2a,
Jacksonville, Florida |
| Zip: | 32223-8663 |
| Phone Number: | 904-268-7552 |
| Fax Number: | 904-268-9792 |
Patients can reach Dr. Nanjappa Shivashankar at
12421 San Jose Blvd Ste 2a, Jacksonville, Florida or can
call to book an appointment on 904-268-7552.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.