DR. Nanjappa Shivashankar, DDS
NPI #1093854168 in Jacksonville, Florida
Provider Information
- NPI Number
- 1093854168
- Entity Type
- Individual
- Name
- DR. Nanjappa Shivashankar, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12421 SAN JOSE BLVD STE 2A
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32223-8663
- Phone
- (904) 268-7552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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