COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1003107889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003107889 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | LEE VISTA DENTAL |
| Practice Address |
8624 Lee Vista Blvd Orlando FL 32829-8383 |
| Practice Telephone | 4073848099 |
| Practice Fax Number | 4073848735 |
| Mailing Telephone | 4073848099 |
| Mailing Fax Number | 4073848735 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | PAM HARDIEK (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lee Vista Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975575 | Comfortable Care Dental Health Professionals, Pa | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1285080929 | Comfortable Care Dental Health Professionals, Pa | Dentist | 715 Palm Bay Rd Ne, Suite 107, West Melbourne, FL 32904-9167 | 2016-05-12 |
| 1568816155 | Comfortable Care Dental Health Professionals, Pa | Dentist | 16731 East Colonial Drive, Orlando, FL 32820 | 2016-04-20 |
| Street Address |
8624 LEE VISTA BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32829-8383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508353848 | Johana Cobo | Dentist | 8624 Lee Vista Blvd, Orlando, FL 32829-8310 | 2018-04-20 |
| 1801310644 | Michael Singh | Dentist | 8624 Lee Vista Blvd, Orlando, FL 32829-8310 | 2017-08-02 |
| 1891148060 | James Garland | Dentist | 8624 Lee Vista Blvd, Orlando, FL 32829-8383 | 2016-07-22 |
| 1881065324 | Prixus Medical Group LLC | Internal Medicine | 8624 Lee Vista Blvd, Orlando, FL 32829-8383 | 2015-10-09 |
| 1437565322 | Christine Anh Tien Nguyen | Dentist | 8624 Lee Vista Blvd, Orlando, FL 32829-8383 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134614670 | Nashali Marie Melendez | Specialist/Technologist | 2736 Palm Isle Way, Orlando, FL 32829 | 2018-06-27 |
| 1710490354 | Kinesist LLC | Physical Therapist | 5069 Walnutridge Drive, Orlando, FL 32829 | 2017-11-06 |
| 1093175812 | Senior Garden Asssisted Living, LLC | Assisted Living Facility | 4034 Eagle Feather Dr, Orlando, FL 32829 | 2016-03-07 |
| 1689910283 | Shana Symone Ferguson | Occupational Therapist | 10060 Lethbridge Drive, Orlando, FL 32829 | 2012-12-31 |
| 1609033729 | Physician Associates LLC | Family Medicine | 6447 S. Chickasaw Trail, Orlando, FL 32829 | 2008-05-16 |
| 1992983225 | Eyeglass World #95 | Eyewear Supplier (Equipment, not the service) | 8236 Lee Vista Blvd, Suite A4 - A6, Orlando, FL 32829 | 2008-02-08 |
| 1831286814 | Beena Naz | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2006-10-09 |
| 1477646974 | Cheryl D Sims | Nurse Practitioner | 8035 Lee Vista Blvd, Orlando, FL 32829 | 2006-10-02 |
| 1861403883 | Southeastern Dental Group | Dentist | 6415 South Chickasaw Trail, Orlando, FL 32829 | 2006-08-11 |
| 1104239268 | Mahiry Romero-salinas | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2014-06-06 |
| Find all providers in zip 32829 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1821609454 | Ideal Dental of Lake Nona | Dentist | 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 | 2020-08-17 |
| 1063023703 | Muhammad Sheryar Khan | Dentist | 11712 Savona Way, Orlando, FL 32827-7243 | 2020-08-16 |
| 1306464805 | Orlando Implants Center Pa | Dentist | 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 | 2020-07-10 |
| 1720601628 | Amber Lynn Medellin | Dentist | 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 | 2020-05-26 |
| 1134741960 | Karoline Anne Biami | Dentist | 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 | 2020-05-14 |
| 1568083020 | Ricardo J Cermeno Sr. | Dentist | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| 1871149120 | Damien Phillips Blanco | Dentist | 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 | 2019-08-13 |
| 1144872029 | My Forever Smiles LLC | Dentist | 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 | 2019-07-11 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.