Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bharat R Shah I, DDS

Individual provider General Practice Dentistry · NPI 1174541296

Dr. Bharat R Shah I, DDS is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3000 Dunn Ave Ste 38
Jacksonville, FL 32218-6551
Phone: (904) 768-3790
Fax: (904) 768-7132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN11696 (FL)
Dentist Taxonomy 122300000X · Licence DN11696 (FL)

Record details

NPI number1174541296
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 27, 2015

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