1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Dentist
  6. NPI Profile

DR. OTIS E. GIRARDEAU DDS
NPI 1710023551
Dentist - General Practice in Jacksonville, FL

Active since January 29, 2007
3505 SOUTHSIDE BLVD, STE.5, JACKSONVILLE, FL 32216(904) 564-1888(904) 564-1628 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Otis E. Girardeau Dds NPPES

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

DR. OTIS E. GIRARDEAU DDS (NPI 1710023551) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (13453) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710023551
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OTIS E. GIRARDEAUCredential: DDS
Location Address3505 SOUTHSIDE BLVD, STE.5Jacksonville, FL 32216-4686
Mailing Address3505 Southside Blvd, Ste.5Jacksonville, FL 32216-4686 · (904) 564-1888 · Fax (904) 564-1628
Phone(904) 564-1888
Fax(904) 564-1628
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710023551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 13453
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.
3505 SOUTHSIDE BLVD, Jacksonville, FL 32216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

ZENOVIA FULTON DMD
Dentist
3505 SOUTHSIDE BLVD, SUITE 5
JACKSONVILLE, FL 32216
Duval County (904) 564-1888

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 Otis Girardeau's NPI number?

The NPI number for Otis Girardeau is 1710023551. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Otis Girardeau located?

Otis Girardeau practices at 3505 Southside Blvd Ste.5, Jacksonville, FL 32216. The listed phone number is (904) 564-1888.

What is Otis Girardeau's specialty?

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

What insurance does Otis Girardeau accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Otis Girardeau 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 Otis Girardeau was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.