MEDICARE: MS. TANYA RENE SHIRLEY RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH20661	FL

General Provider Information

NPI Number	:	1801564026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANYA RENE SHIRLEY RDH

Provider Business Mailing Address
First Line	:	3595 CARDINAL POINT DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5500
Country	:	US
Telephone Number	:	904-737-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3595 CARDINAL POINT DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5500
Country	:	US
Telephone Number	:	904-737-2040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	09/01/2021

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