DENTISTS OF PORT CHARLOTTE, PA (NPI# 1013558154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013558154 |
| Entity Type | Organization |
| Organization Name | DENTISTS OF PORT CHARLOTTE, PA |
| Other Organization Name | DENTISTS OF PORT CHARLOTTE |
| Practice Address |
1720 Tamiami Trl Ste 102 Port Charlotte FL 33948-1121 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9415848926 |
| Practice Fax Number | 9417029407 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | DR. MINH B PHAM (OWNER) |
| Authorized Official Telephone | 9415848926 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Port Charlotte | Doing Business As Name - Organization |
| Rancho Penasquitos Dentistry Dental Group | Doing Business As Name - Organization |
| Street Address |
1720 TAMIAMI TRL STE 102 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1417440280 | Jeffrey Isaias Perez | Dentist | 1750 Tamiami Trl Ste 100, Port Charlotte, FL 33948-1045 | 2018-06-07 |
| 1063919975 | Nataly Salazar | Dentist | 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980-2953 | 2018-04-07 |
| 1912434143 | Luis Manuel De La Puente | Dentist | 1940 Tamiami Trl Ste 102, Port Charlotte, FL 33948-2105 | 2017-05-18 |
| 1720456098 | David W Rowe, Dmd, Pa | Dentist | 17840 Toledo Blade Blvd Unit A, Port Charlotte, FL 33948-1020 | 2015-09-03 |
| 1528494788 | Houman Dehdashti | Dentist | 2300 Tamiami Trl, Port Charlotte, FL 33952-3900 | 2013-09-19 |
| 1710321880 | Joseph D Proscia | Dentist | 1940 Tamiami Trl, Suite 102, Port Charlotte, FL 33948-2105 | 2013-04-19 |
| 1962639930 | Gene Franklin Stout | Dentist | 2400 Harbor Blvd., Suite 11, Port Charlotte, FL 33952 | 2009-06-17 |
| 1730366923 | Micahel C. Alpern II | Dentist | 3100 Port Charlotte Blvd, Port Charlotte, FL 33952-5157 | 2008-01-30 |
| 1194904862 | Associates In Dentistry | Dentist | 18000 Toledo Blade Blvd, Port Charlotte, FL 33948 | 2007-10-30 |
| 1831303783 | Anthony Richard Menendez | Dentist | 4120 Tamiami Trail Suite A, Suite A, Port Charlotte, FL 33952-9200 | 2007-05-10 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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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.