Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fereshteh P Taba, DDS

Individual provider General Practice Dentistry · NPI 1841212743

Dr. Fereshteh P Taba, DDS is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

12420 San Jose Blvd Ste One
Jacksonville, FL 32223-2643
Phone: (904) 268-3002
Fax: (904) 880-5669
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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 12039 (FL)

Record details

NPI number1841212743
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12420 San Jose Blvd, Suite One, Jacksonville, FL 32223-2643

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