Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Shruti Sushilkumar Sonavane , DMD

Dentist - General Practice β€’ Jacksonville, FL

Active NPI 1407342546 Individual Practitioner Female Practitioner
Practice location in NPPES

4906 Town Center Pkwy Unit 404
Jacksonville, FL 322468594

Call 9044411568 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4906 Town Center Pkwy Unit 404

Jacksonville, FL 322468594

Telephone 9044411568
Organization at the Same NPPES Address or Phone
Ideal Dental Town Center Pllc Facility NPI 1629714613

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

351 active clinicians are listed under Dentist - General Practice with a practice address in Jacksonville, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 351 clinicians have the CMS telehealth indicator.

0% of these 351 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN28655

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 20, 2023

Registered at 4906 TOWN CENTER PKWY UNIT 404, JACKSONVILLE, FL 322468594 (Tel: 9044411568)

πŸ“
Updated Business Mailing Address November 20, 2023

Registered at 5378 BENTPINE COVE RD, JACKSONVILLE, FL 322240837 (Tel: 2056036231)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2023

Dentist (license number reported to NPPES: FL DN28655)

βœ…
NPI Profile Active July 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2018

Registered at 3325 LORNA RD STE 5, VESTAVIA HILLS, AL 352165464 (Tel: 2053790550)

πŸ“
Business Mailing Address (Initial Record) July 02, 2018

Registered at 1535 COBBLE HILL LN, VESTAVIA HILLS, AL 352162826 (Tel: 2056036231)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2018

Recorded as SHRUTI SONAVANE, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Dentist (license number reported to NPPES: AL 6542)

🟒
Initial NPI Registration & Enumeration July 02, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407342546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2018
Last Update: November 20, 2023
Sole Proprietor: No

Other Dentist - General Practices in Jacksonville

All Dentist - General Practices in Jacksonville

Mailing Address

5378 Bentpine Cove Rd

Jacksonville, FL 322240837

Phone: 2056036231

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.