DR. MICHAEL RICHARD WOLOV (NPI# 1003824863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003824863 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD WOLOV |
| Credential | DDS |
| Practice Address |
81 Saint James Ct Palm Beach Gardens FL 33418-4020 |
| Practice Telephone | 6179011382 |
| Practice Fax Number | 5616265505 |
| Mailing Telephone | 6179011382 |
| Mailing Fax Number | 5616265505 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN 12643 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
50 057131 | NY | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
12132 | MA | Dental Providers |
| Street Address |
81 SAINT JAMES CT |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33418-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1518438852 | Jessica E Harrison, Lcsw | Clinic/Center | 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418 | 2018-12-16 |
| 1275000879 | Dentists of Palm Beach Gardens, Pa | Dentist | 5380 Donald Ross, Rd., Suite 100, Palm Beach Gardens, FL 33418 | 2018-11-01 |
| 1861979932 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5410 Donald Ross Rd, Palm Beach Gardens, FL 33418 | 2018-07-23 |
| 1194240150 | Private Home Care LLC | Home Health | 5211 Celery Ln, Palm Beach Gardens, FL 33418 | 2017-08-10 |
| 1053836791 | Ashley Mooney | Pharmacist | 6251 Ave of The Pga, Palm Beach Gardens, FL 33418 | 2017-08-03 |
| 1063950343 | Spinal Motion Diagnostics Fort Lauderdale LLC | Clinic/Center | 8435 Man O War Road, Palm Beach Gardens, FL 33418 | 2017-02-07 |
| 1588108823 | Fernando Javier Rodriguez | Pharmacist | 290 Woodbine Way, Apt 215, Riviera Beach, FL 33418 | 2016-12-06 |
| 1811430036 | Lauren Alexandra Kratofil | Physical Therapist | 300 Avenue of The Champions, Palm Beach Gardens, FL 33418 | 2016-11-19 |
| 1417403221 | Ahava-5772, LLC | Chiropractor | 5540 Pga Boulevard, Suite 100, Palm Beach Gardens, FL 33418 | 2016-08-31 |
| Find all providers in zip 33418 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302128 | Robert I Berlin | Dentist | 725 Pinehurst Way, Palm Beach Gardens, FL 33418-8499 | 2007-02-12 |
| 1740431980 | Palm Beach Endodontics, P.a. | Dentist | 11211 Prosperity Farms Rd, Suite B107, Palm Beach Gardens, FL 33410-3446 | 2008-10-07 |
| 1548476203 | Jussara M Morsani | Dentist | 11380 Prosperity Farms Rd, Suite 214, Palm Beach Gardens, FL 33410-3474 | 2007-05-16 |
| 1073633707 | Stephen Thomas Galla | Dentist | 11211 Prosperity Farms Rd, Suite B107, Palm Beach Gardens, FL 33410-3446 | 2007-03-29 |
| 1699894303 | Charlyn Rappa Bradshaw | Dentist | 11211 Prosperity Farms Rd, Suite B107, Palm Beach Gardens, FL 33410-3446 | 2007-03-27 |
| 1225157977 | Kenneth Wayne Bradshaw | Dentist | 11211 Prosperity Farms Rd, B107, Palm Beach Gardens, FL 33410-3446 | 2007-03-27 |
| 1891823514 | Gary L Laukhuf | Dentist | 11380 Prosperity Farms Rd, 214, Palm Beach Gardens, FL 33410-3474 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33418 |
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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.