JAYSHREE A. PATEL DDS PA NPI 1720030364

NPI Information

  • NPI: 1720030364
  • Provider Name: JAYSHREE A. PATEL DDS PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: JAYSHREE A. PATEL DDS
  • Address: 5310 TIMUQUANA RD
    JACKSONVILLE, FL
    ZIP 32210
  • Phone: (904) 771-0933

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NPI Details

JAYSHREE A. PATEL DDS PA is a general practice dentist in Jacksonville, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JAYSHREE A. PATEL DDS PA NPI is 1720030364. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jayshree A. Patel Dds.

The provider's business location address is:

5310 TIMUQUANA RD
JACKSONVILLE, FL
ZIP 32210-049
Phone: (904) 771-0933
Fax: (904) 771-0907

The provider's authorized official is Jayshree Ashwin Patel .
The authorized official title is President and has the following contact phone number (904) 771-0933.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN0009954FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1786435OTHERFLORIDAUNITED CONCORDIA
263060OTHERFLORIDABC/BS
3073053000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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