Individual provider · Type 1 NPI

Shane Robert McTiernan, DMD

General Practice Dentistry · Jacksonville, FL

NPI number 1376160010 Active

Practice location

651 Nautica Dr Unit 1
Jacksonville, FL 32218-7222

Mailing address

10020 Invention Ln
Jacksonville, FL 32256-4093

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X7968 (OK)
General Practice Dentistry Primary 1223G0001XDN25009 (FL)

General Practice Dentistry: 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.

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About NPI 1376160010

Shane Robert McTiernan, DMD's National Provider Identifier is 1376160010, issued on Jun 29, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 15, 2025.