CLEARWATER DENTAL ASSOCIATES PL (NPI# 1023042967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023042967 |
Entity Type | Organization |
Organization Name | CLEARWATER DENTAL ASSOCIATES PL |
Practice Address |
2226 Druid Road E Clearwater FL 33764 |
Practice Telephone | 7277978800 |
Practice Fax Number | 7277913820 |
Mailing Telephone | 7277978800 |
Mailing Fax Number | 7277913820 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. NOLAN W ALLEN (OWNER) |
Authorized Official Telephone | 7277978800 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
2226 DRUID ROAD E |
City | CLEARWATER |
State | FL |
Zip Code | 33764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649891904 | Jennifer Rose Whealey | Social Worker | 1437 S. Belcher Rd., Clearwater, FL 33764 | 2020-04-28 |
1831740521 | Kasey Coffin | Pharmacist | 1938 Sever Drive, Clearwater, FL 33764 | 2019-09-24 |
1053876649 | Jacqueline Armstead | Community Health Worker | 11270 Us Hwy 19 N, Bldg#3 Apt#108, Clearwater, FL 33764 | 2019-02-07 |
1215419791 | Linda Susanne Blake | Social Worker | 19029 Us Highway 19 North, Villa 22d, Clearwater, FL 33764 | 2018-08-31 |
1770002651 | American Advanced Senior Care LLC | Assisted Living Facility | 2298 Bellaire Road, Clearwater, FL 33764 | 2017-09-12 |
1366969016 | Ryan Black | Social Worker | 2100 Nursery Rd. E18, Clearwater, FL 33764 | 2017-08-24 |
1710370366 | Susan Arleen Gaddy | Dietitian, Registered | 1340 Weber Drive, Clearwater, FL 33764 | 2015-03-06 |
1699108373 | Lori L Fehr | Physician Assistant | 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 | 2013-08-16 |
1306287628 | A Tender Touch In Home Services | In Home Supportive Care | 2159 Nursery Rd #314, Clearwater, FL 33764 | 2013-07-15 |
1174884134 | Applied Behavior Approaches of Tampa Bay Inc. | Community/Behavioral Health | 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 | 2012-06-06 |
Find all providers in zip 33764 |
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 |
---|---|---|---|---|
1942666284 | Liwen Tao D.d.s., M.s. | Dentist | 2753 State Road 580 Ste 108, Clearwater, FL 33761-3351 | 2015-12-31 |
1962714857 | Ami M Patel | Dentist | 3165 N Mcmullen Booth Rd Ste A2, Clearwater, FL 33761-2020 | 2010-07-08 |
1376718601 | Laurent Walter Belanger | Dentist | 2329 Sunset Point Rd Ste 201, Clearwater, FL 33765-1438 | 2008-04-28 |
1457482168 | Edward Dwight Kosakoski | Dentist | 2515 Countryside Blvd Ste A, Clearwater, FL 33763-1603 | 2007-03-07 |
1306996384 | Raed Shafia Al Kasem | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-11 |
1154401677 | Christopher L Ross | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2006-10-17 |
1417059551 | Liwen Tao | Dentist | 2753 State Rd 580, Ste 108, Clearwater, FL 33761 | 2006-09-01 |
1437316700 | Bay Area Endodontics LLP | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2008-05-22 |
1437294741 | Endodontic Associates | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite 2, Clearwater, FL 33761-2032 | 2007-02-21 |
1760534747 | Robert Henry Haller | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-18 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33764 |
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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.