SHABNAM PENRY DDS, NPI 1023175528
Dentist in JACKSONVILLE, FL
Last Updated on : Apr 21,2009
About SHABNAM PENRY (NPI 1023175528)
SHABNAM PENRY is a Dentist provider in JACKSONVILLE, United States. Her medical specialization is Dentist .
1023175528 is NPI number of SHABNAM PENRY.
SHABNAM PENRY's primary taxonomy code based on NPI Lookup is 122300000X with license number 30022434. This taxonomy code refers to Dentist.
SHABNAM PENRY has more than 15 years of experience.
SHABNAM PENRY current practice location address is 10950 SAN JOSE BLVD, JACKSONVILLE, FL. SHABNAM PENRY can be reached out via phone at 904-260-4244 and via fax at 904-292-0866 .
You can also correspond with SHABNAM PENRY through mail at mailing address 10950 SAN JOSE BLVD, JACKSONVILLE, FL, United States. Mailing address contact number is 904-260-4244.
The enumeration date of SHABNAM PENRY is 03-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 14 years ago.1023175528 NPI Information
Basic NPI information of SHABNAM PENRY (NPI 1023175528) is provided below.
| Name | SHABNAM PENRY |
|---|---|
| National Provider Id (NPI) | 1023175528 |
| Entity Type | Individual |
| Gender | F |
| Credential | DDS |
| Practice Address | 10950 SAN JOSE BLVD,
SUITE 64
JACKSONVILLE, FL, United States |
| Practice Telephone | 904-260-4244 |
| Practice Fax Number | 904-292-0866 |
| Mailing Address | 10950 SAN JOSE BLVD ,
SUITE 64
JACKSONVILLE, FL, United States |
| Mailing Telephone | 904-260-4244 |
| Mailing Fax Number | 904-292-0866 |
| Enumeration Date | 03-Jan-2007 |
| Last Updated Date | 21-Apr-2009 |
SHABNAM PENRY (NPI 1023175528) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 30022434 | OH |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
SHABNAM PENRY (NPI 1023175528) Office Location
Office location of SHABNAM PENRY is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1366509994 | SANDRA KAY PONDER | Nurse Practitioner, Family | 701 HUNTER LN SW,
JACKSONVILLE, AL, United States |
02-Jan-2007 |
| 1386829489 | PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 331 HENRY ROAD SW,
JACKSONVILLE, AL, United States |
08-Jan-2008 |
| 1538430186 | WILLARD OLIVER YOUNGBLOOD | Pharmacist | 1306 7TH AVE NE,
JACKSONVILLE, AL, United States |
13-Jan-2012 |
| 1841348125 | MARY JENNIFER COFFMAN | Nurse Anesthetist, Certified Registered | 1701 PELHAM RD S,
JACKSONVILLE, AL, United States |
05-Jan-2007 |
| 1033267125 | PAMELA HOPE WILLIS | Physical Therapy Assistant | 156 SCENIC RD,
JACKSONVILLE, AL, United States |
08-Jan-2007 |
| 1487702924 | ADDICTION & MENTAL HEALTH SERVICES, LLC | Substance Abuse Rehabilitation Facility | PO BOX 830585,
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08-Jan-2007 |
| 1407186703 | CHAD KNIGHT | Social Worker, Clinical | 604 8TH AVE NE,
JACKSONVILLE, AL, United States |
08-Jan-2010 |
| 1821487810 | MARK ANTHONY LUMPKIN | Pharmacist | 1625 PELHAM RD S,
JACKSONVILLE, AL, United States |
14-Jan-2015 |
| 1740754282 | HAYLIE BROOKE WHITESIDE | Student in an Organized Health Care Education/Training Program | 3873 HOLLINGSWORTH RD,
JACKSONVILLE, AL, United States |
17-Jan-2019 |
| 1407320666 | REBECCA TINGLE | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
21-Jan-2019 |
| 1942718176 | STEPHEN PHILLIP HERRING | Physical Therapist | 199 N BROOKMOORE DR,
COLUMBUS, MS, United States |
23-Jan-2018 |
| 1063784759 | ASHLEY LYNN GARRETT | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
27-Jan-2012 |
| 1952673576 | GINGER L CAUDELL | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
27-Jan-2012 |
| 1235316514 | DR MUHAMAD MAZEN FESTOK | Clinic/Center | 1460 2ND AVE SW,
B JACKSONVILLE, AL, United States |
29-Jan-2008 |
| 1205226198 | JACOB BOYDSTON | Pharmacist | 815 PELHAM RD S,
JACKSONVILLE, AL, United States |
29-Jan-2015 |
| 1730643180 | SAMUEL NELSON | Student in an Organized Health Care Education/Training Program | 1003 EAGLE CREST BLVD SW,
JACKSONVILLE, AL, United States |
29-Jan-2019 |
| 1780656819 | TERRY L BONDS | Optometrist | 601 PELHAM RD S,
JACKSONVILLE, AL, United States |
02-Feb-2006 |
| 1114105863 | BONNE L EVANS | Counselor, Mental Health | 614 PELHAM RD S,
JACKSONVILLE, AL, United States |
05-Feb-2008 |
| 1689646135 | BRUNDA REVANNA | Family Medicine | 950 EAGLES LANDING PWKY #321,
STOCKBRIDGE, GA, United States |
07-Feb-2006 |
| 1164562450 | ERIC HUDSON LA FAYETTE | Dentist | 703 PELHAM RD S,
JACKSONVILLE, AL, United States |
07-Feb-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1023175528?1023175528 is the NPI number of SHABNAM PENRY.
What is the specialty for SHABNAM PENRY?The Specialty of SHABNAM PENRY is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|