Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE ROBERT MCTIERNAN, DMD
ActiveDR. SHANE ROBERT MCTIERNAN, DMD is a General Dentistry healthcare provider located in JACKSONVILLE, Florida. NPI 1376160010 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1376160010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2020 (6.1396629590394 yrs)
- Last Updated
- Jan 15, 2025
- Licenses
-
7968 (OK)DN25009 (FL)
Practice Information
- Address
-
651 NAUTICA DR UNIT 1JACKSONVILLE, FL, 322187222Browse FL providers · Browse ZIP 32218
- Phone
- 9044234014
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID RICHARD OLINZOCK | D.D.S. | 1396748117 |
| DR. JAMES ROBERT HULFELD | D.D.S. | 1346243300 |
| DR. BRENT EDWARD NEUBAUER | D.D.S. | 1295736627 |
| DR. JOSEPH BRIAN MICHAEL | DMD | 1811980667 |
| DR. RICHARD CONWAY | DDS | 1811980550 |
| DR. SHAY RAZMI | — | 1235122862 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.