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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SIAMAC MASHOD DDS
NPI 1174522387
Dentist in Jacksonville, FL

Active since July 19, 2005
11190 MONUMENT LANDING BLVD, JACKSONVILLE, FL 32225(904) 645-9162(904) 998-8812 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Siamac Mashod Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIAMAC MASHOD DDS (NPI 1174522387) is an individual dentist in Jacksonville, Florida, licensed in Florida (11314) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1174522387
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SIAMAC MASHODCredential: DDS
Location Address11190 MONUMENT LANDING BLVDJacksonville, FL 32225-4580
Mailing Address11190 Monument Landing BlvdJacksonville, FL 32225 · (904) 645-9162 · Fax (904) 998-8812
Phone(904) 645-9162
Fax(904) 998-8812
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174522387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 11314
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11190 MONUMENT LANDING BLVD, Jacksonville, FL 32225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siamac Mashod's NPI number?

The NPI number for Siamac Mashod is 1174522387. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Siamac Mashod located?

Siamac Mashod practices at 11190 Monument Landing Blvd, Jacksonville, FL 32225. The listed phone number is (904) 645-9162.

What is Siamac Mashod's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Siamac Mashod accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Siamac Mashod as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Siamac Mashod was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.