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

Tiffany Kelly Shields, DMD

Individual provider General Practice Dentistry · NPI 1336300250

Tiffany Kelly Shields, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

3940 San Jose Park Dr
Jacksonville, FL 32217-4613
Phone: (904) 731-0777
Fax: (904) 731-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN18276 (FL)

Record details

NPI number1336300250
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESOctober 8, 2010

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