Slobadon Ciric, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

126272 Issued in FL

Practice address

3504 Cardinal Point Dr
Jacksonville, FL 32257-5500

Phone

(904) 730-2266

Fax

(904) 730-9050

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 3D Dental Care LLC

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1689488983
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720138951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575500",
            "telephone_number": "904-730-2266",
            "fax_number": "904-730-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575500",
            "telephone_number": "904-730-2266",
            "fax_number": "904-730-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIC",
        "first_name": "SLOBADON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "126272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cioffi
• Gina M Cipollina, PAC
• Alberto Kris Cipollone, IDC
• Circle of Hope Inc
• Cintia Ferreira Ciriaco
• Betsy Suzanne Cirolia, FNP
• Janae V Cisero, PT
• Nicole Cisler
• Manuela Claudia Cismaru, ARNP
• Mario Cisneros

• All providers in Jacksonville, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.