Individual provider · Type 1 NPI

Samidha Patel, DDS

Pediatric Dentistry · Jacksonville, FL

NPI number 1326630575 Active

Practice location

12420 San Jose Blvd
Jacksonville, FL 32223-2643

Call (904) 901-4691 Map

Mailing address

13547 Holsinger Blvd
Jacksonville, FL 32256-8646

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN25664 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1326630575

Samidha Patel, DDS's National Provider Identifier is 1326630575, issued on Feb 9, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 6, 2026.