PHILLIP JEFFERY KELEMEN (NPI# 1003416017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003416017 |
| Entity Type | Individual |
| Full Name | PHILLIP JEFFERY KELEMEN |
| Credential | DDS |
| Practice Address |
5913 Plainview Dr Port Orange FL 32127-8911 |
| Practice Telephone | 3868823139 |
| Mailing Telephone | 3868823139 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN9377 | FL | Dental Providers |
| Street Address |
5913 PLAINVIEW DR |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497317242 | Nery Ruano | Dentist | 5445 S Williamson Blvd, Port Orange, FL 32128-7399 | 2019-07-02 |
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1730614157 | Lakshmi Prathyusha Nannapaneni | Dentist | 3781 S Nova Rd Ste B, Port Orange, FL 32129-4285 | 2017-04-23 |
| 1407215965 | Smiles Kingdom Inc | Dentist | 3751 Clyde Morris Blvd, Unit 7, Port Orange, FL 32129-2356 | 2016-02-12 |
| 1811373343 | Nishita Dipakkumar Patel | Dentist | 5400 S Williamson Blvd, Apt #3-207, Port Orange, FL 32128-3702 | 2015-08-06 |
| 1275894560 | Sean Michael Bannan | Dentist | 4410 S Ridgewood Ave, Port Orange, FL 32127-4516 | 2012-06-03 |
| 1700107810 | Hang Van | Dentist | 4184 Mayfair Ln, Port Orange, FL 32129-7506 | 2010-06-13 |
| 1659503910 | John Kulaga | Dentist | 1221 Dunlawton Ave, Port Orange, FL 32127-8950 | 2009-08-19 |
| 1093916819 | Nelly Guirgis Haddad | Dentist | 3755a S Nova Rd, Port Orange, FL 32129-4233 | 2007-05-30 |
| 1154542397 | Christie Jean Latulippe | Dentist | 3781 S Nova Rd, Port Orange, FL 32129-4291 | 2007-05-02 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.