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DR. SHANE ROBERT MCTIERNAN DMD
NPI 1376160010
Dentist - General Practice in Jacksonville, FL

Active since June 29, 2020
651 NAUTICA DR UNIT 1, JACKSONVILLE, FL 32218(904) 423-4014 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Jun 29, 2020 (2 updates tracked since 2020).

About Dr. Shane Robert Mctiernan Dmd NPPES

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

DR. SHANE ROBERT MCTIERNAN DMD (NPI 1376160010) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN25009) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1376160010
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE ROBERT MCTIERNANCredential: DMD
Location Address651 NAUTICA DR UNIT 1Jacksonville, FL 32218-7222
Mailing Address10020 Invention LnJacksonville, FL 32256-4093 · (570) 687-0798
Phone(904) 423-4014
Sole ProprietorNo
Enumeration DateJune 29, 2020
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1376160010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN25009✔ Licensed in OK · 7968
Definition
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.
651 NAUTICA DR UNIT 1, Jacksonville, FL 32218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PADMA RAGEER
Dentist
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 800-4797
DR. VANESSA MONICA BLANCO DMD
Dentist (General Practice)
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
GREGORY JOHN SABINO DDS, PH. D.
Dentist (General Practice)
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
MANUEL ALEJANDRO ACOSTA HERNANDEZ DDS
Dentist (General Practice)
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
DR. BRENDAN LEGGETT HASSIG DMD
Dentist
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
CHRISTOPHER MILLER DMD
Dentist
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
ALAN MARGOLIS
Dentist (General Practice)
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014
JACKSONVILLE FLORIDA NORTH, PLLC
Dentist (General Practice)
651 NAUTICA DR UNIT 1
JACKSONVILLE, FL 32218
Duval County (904) 423-4014

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 Shane Mctiernan's NPI number?

The NPI number for Shane Mctiernan is 1376160010. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Shane Mctiernan located?

Shane Mctiernan practices at 651 Nautica Dr Unit 1, Jacksonville, FL 32218. The listed phone number is (904) 423-4014.

What is Shane Mctiernan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shane Mctiernan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 20 other insurers list Shane Mctiernan 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 Shane Mctiernan was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.