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

Dr. Siamac Mashod, DDS

Individual provider Dentist · NPI 1174522387

Dr. Siamac Mashod, DDS is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

11190 Monument Landing Blvd
Jacksonville, FL 32225-4580
Phone: (904) 645-9162
Fax: (904) 998-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11314 (FL)

Record details

NPI number1174522387
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 13, 2026
Mailing address11190 Monument Landing Blvd, Jacksonville, FL 32225

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