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

Dr. Shane Robert McTiernan, DMD

Individual provider General Practice Dentistry · NPI 1376160010

Dr. Shane Robert McTiernan, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida and Oklahoma. Registered with an NPI since 2020.

Licensed in
FL, OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

651 Nautica Dr Unit 1
Jacksonville, FL 32218-7222
Phone: (904) 423-4014
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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 DN25009 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7968 (OK)

Record details

NPI number1376160010
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address10020 Invention Ln, Jacksonville, FL 32256-4093

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