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

Dr. Nanjappa Shivashankar, DDS

Individual provider General Practice Dentistry · NPI 1093854168

Dr. Nanjappa Shivashankar, DDS is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

12421 San Jose Blvd Ste 2A
Jacksonville, FL 32223-8663
Phone: (904) 268-7552
Fax: (904) 268-9792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence FL9317 (FL)

Record details

NPI number1093854168
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address12421 San Jose Blvd Ste 2a, Jacksonville, FL 32223-8663

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