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

Kristin D Shannon

Individual provider General Practice Dentistry · NPI 1487497533

Kristin D Shannon is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

11518 San Jose Blvd
Jacksonville, FL 32223-7237
Phone: (904) 268-5600
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN32111 (FL)

Record details

NPI number1487497533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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