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

Dr. Mary Trinh Pentel, MD

Individual provider Specialist · NPI 1588677058

Dr. Mary Trinh Pentel, MD is a Dermatology in Jacksonville, Florida. Graduated from Pennsylvania State University College of Medicine in 1994, 32 years ago. Practices with Southside Dermatology, PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
32
Trained at
Pennsylvania State University College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4727 Sunbeam Rd Ste 101
Jacksonville, FL 32257-6107
Phone: (904) 880-0622
Fax: (904) 880-0623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME76473 (FL)
Specialist Taxonomy 174400000X · Licence ME76473 (FL)

Record details

NPI number1588677058
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Southside Dermatology, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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