EGAO PLLC NPI 1760214530

NPI Information

NPI: 1760214530
Provider Name: EGAO PLLC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 1550 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204
Phone: (518) 466-4294

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NPI Details

EGAO PLLC 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. EGAO PLLC NPI is 1760214530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1550 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204-161
Phone: (518) 466-4294

The provider's authorized official is Jasmine Shakya .
The authorized official title is Dentist/owner and has the following contact phone number (518) 466-4294.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

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	Primary
1	122300000X	Dentist		No
2	1223E0200X	Dentist	Endodontics	No
3	1223G0001X	Dentist	General Practice	Yes
4	1223P0106X	Dentist	Oral and Maxillofacial Pathology	No
5	1223P0300X	Dentist	Periodontics	No
6	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No

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: 11/21/2025

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