Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Siamac Mashod, DDS

Individual provider Dentist · NPI 1174522387

Dr. Siamac Mashod, DDS is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11190 Monument Landing Blvd
Jacksonville, FL 32225-4580
Phone: (904) 645-9162
Fax: (904) 998-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11314 (FL)

Record details

NPI number1174522387
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 13, 2026

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