What is Otis Girardeau's NPI number?

Otis Girardeau's National Provider Identifier (NPI) is 1710023551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Otis Girardeau's specialty?

Otis Girardeau is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Otis Girardeau located?

Otis Girardeau's practice location on file with NPPES is 3505 Southside Blvd, Jacksonville, FL 32216-4686.

What is Otis Girardeau's phone number?

The practice phone number listed in the NPPES registry for Otis Girardeau is (904) 564-1888.

Is Otis Girardeau's NPI active?

Yes — Otis Girardeau's NPI (1710023551) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Otis Girardeau, DDS

NPI 1710023551 · General Practice Dentistry · Jacksonville, FL

Otis Girardeau, DDS is a General Practice Dentistry provider in Jacksonville, FL (NPI 1710023551).

Provider details

NPI number: 1710023551
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 13453 (FL)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 13453 (FL)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3505 Southside Blvd

Ste.5

Jacksonville, FL 32216-4686

Phone: (904) 564-1888

Fax: (904) 564-1628

Street-level locationGet directions

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Mailing address