Individual
DR. SAMIDHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12420 SAN JOSE BLVD, JACKSONVILLE, FL 32223-2643
(904) 901-4691
Mailing address
13547 HOLSINGER BLVD, JACKSONVILLE, FL 32256-8646
(956) 299-6184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25664
FL
1223P0221X
Pediatric Dentistry
Primary
DN25664
FL
Other
Enumeration date
02/09/2021
Last updated
08/06/2026
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