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Individual

ADAM A SHBEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826
(313) 629-8117
Mailing address
8283 BYMDWS RD E APT 1318, JACKSONVILLE, FL 32256-3060
(313) 629-8117

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25359
FL
390200000X
Student in an Organized Health Care Education/Training Program
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26165285
MA
Enumeration date
05/24/2018
Last updated
07/07/2025
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