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

Shabnam Penry, DDS

Individual provider Dentist · NPI 1023175528

Shabnam Penry, DDS is a Dentist in Jacksonville, Florida. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
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

10950 San Jose Blvd Ste 64
Jacksonville, FL 32223-6688
Phone: (904) 260-4244
Fax: (904) 292-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30022434 (OH)

Record details

NPI number1023175528
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESApril 21, 2009
Mailing address10950 San Jose Blvd, Suite 64, Jacksonville, FL 32223-6688

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