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

Dr. Shyamaly Premaraj, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1972280543

Dr. Shyamaly Premaraj, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Orange Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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

2217 Kingsley Ave
Orange Park, FL 32073-5115
Phone: (904) 272-1165
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN31401 (FL)

Record details

NPI number1972280543
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 5, 2023
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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