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

Dr. Si Shi, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013457696

Dr. Si Shi, DDS is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2017
Specialties on file
2
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

751 Oak St Ste 601
Jacksonville, FL 32204-3373
Phone: (904) 354-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 E 24th St, New York, NY 10010-4020 — (212) 998-9800

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN25511 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1013457696
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 2, 2017
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address4929 Skyway Dr Apt 3312, Jacksonville, FL 32246-0040

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