Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013457696 Individual Practitioner Female Practitioner

Dr. Si Shi , DDS

Dentist - Endodontics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Si Shi, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Jacksonville, FL. Practice services are available at 751 OAK ST STE 601 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

751 Oak St Ste 601

Jacksonville, FL 322043373

Telephone 9043544031

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Jacksonville, FL (536 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-14
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN25511

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

345 E 24th St

New York, NY 100104020

Phone: 2129989800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Minh Trang Dang , DDS

Dentist - General Practice

NPI 1013091602

Doctor of Dental Surgery

Dr. Duane Bernstein , DMD

Dentist - Endodontics

NPI 1013093673

Doctor of Dental Medicine

NPI 1528595907
Dr. Patricia Clark , DMD

Dentist - General Practice

NPI 1871677476

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 14, 2021

Registered at 751 OAK ST STE 601, JACKSONVILLE, FL 322043373 (Tel: 9043544031)

📍
Updated Business Mailing Address July 14, 2021

Registered at 4929 SKYWAY DR APT 3312, JACKSONVILLE, FL 322460040 (Tel: 9175028308)

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as SI SHI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Dentist (License #DN25511 in FL)

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2017

Registered at 345 E 24TH ST, NEW YORK, NY 100104020 (Tel: 2129989800)

📍
Updated Business Mailing Address March 02, 2017

Registered at 345 E 24TH ST, NEW YORK, NY 100104020

👤
Provider Name / Credentials Updated March 02, 2017

Recorded as SI SHI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013457696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2017
Last Update: July 14, 2021
Sole Proprietor: Yes

Mailing Address

4929 Skyway Dr Apt 3312

Jacksonville, FL 322460040

Phone: 9175028308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.