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

Dr. Yakov Shimunov, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194253765

Dr. Yakov Shimunov, DDS is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

651 Nautica Dr # 1
Jacksonville, FL 32218-7222
Phone: (347) 422-3596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 23164 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194253765
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 26, 2017
Last updated in NPPESJune 13, 2021
Certification dateJune 13, 2021
Mailing address2586 Scott Mill Dr S, Jacksonville, FL 32223-6528

Other providers in Jacksonville