DR. MICHAEL LONDON (NPI# 1013369438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013369438 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LONDON |
| Credential | DMD |
| Practice Address |
9980 Central Park Blvd N Ste 113 Boca Raton FL 33428-1703 |
| Mailing Address |
11436 Sandstone Hill Ter Boynton Beach FL 33473-7806 |
| Practice Telephone | 5617173660 |
| Mailing Telephone | 6783326196 |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN24645 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538561287 | Michael London | Counselor | 862 S Main Street #4, Brigham City, UT 84302 | 2014-09-24 |
| 1871664250 | Michael D London | Orthopaedic Surgery | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2006-11-10 |
| Street Address |
9980 CENTRAL PARK BLVD N STE 113 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760613426 | Jason E. Portnof | Oral & Maxillofacial Surgery | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2009-07-29 |
| 1689171332 | Surgical Arts of Boca Raton LLC | Oral & Maxillofacial Surgery | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1023060498 | Gary Jon Wayne | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2006-05-16 |
| 1366991317 | Florida Surgical Arts Pllc | Dentist | 7301 W Palmetto Park Rd, Suite 204c, Boca Raton, FL 33433-3458 | 2016-09-30 |
| 1295140416 | Dr. Henry M Lennon | Dentist | 2499 Glades Rd, Boca Raton, FL 33431-7209 | 2014-06-26 |
| 1114348323 | Minelle M. Tendler Dmd Pa | Dentist | 595 S Federal Hwy Ste 130, Boca Raton, FL 33432-6096 | 2013-12-16 |
| 1609124213 | Gary J Wayne Dmd,pa | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2012-08-29 |
| 1285869933 | Boca Raton Center for Oral Facial & Implant Surgery, LLC | Dentist | 2499 Glades Rd, Suite 309, Boca Raton, FL 33431-7202 | 2009-05-26 |
| 1568626265 | Allyn E. Segelman | Dentist | 20423 State Road 7, Suite F18, Boca Raton, FL 33498-6797 | 2008-07-11 |
| 1821291873 | Gary J Wayne Dmd Pa | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2007-06-07 |
| 1417009150 | John Robert Magnacca | Dentist | 900 Nw 13th St, Suite 202, Boca Raton, FL 33486-2335 | 2007-01-16 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.