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

Individual provider General Practice Dentistry · NPI 1558105791

Sydney Jaymes Shepard, DMD is a General Practice Dentistry in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12276 San Jose Blvd Ste 313
Jacksonville, FL 32223-8632
Phone: (904) 807-8744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 362 State Highway 83, Defuniak Springs, FL 32433-3800 — (850) 892-8015

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN29140 (FL)

Record details

NPI number1558105791
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 22, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address72 Indian Bayou Dr, Destin, FL 32541-4447

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