DR. JACK M HAFER (NPI# 1063567279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063567279 |
| Entity Type | Individual |
| Full Name | DR. JACK M HAFER |
| Credential | DDS |
| Practice Address |
2525 Pasadena Ave S Ste E Pasadena FL 33707 |
| Mailing Address |
13779 Pinecrest Drive Largo FL 33774-4513 |
| Practice Telephone | 7273607063 |
| Practice Fax Number | 7273676751 |
| Mailing Telephone | 7275953757 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN5390 | FL | Dental Providers |
| Street Address |
2525 PASADENA AVE S STE E |
| City | PASADENA |
| State | FL |
| Zip Code | 33707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| 1013008713 | Richard A. Leverone | Radiology | 5136 Central Ave, St Petersburg, FL 33707 | 2006-09-27 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1780294033 | Tracy Ho | Dentist | 3015 Gainsborough Dr, Pasadena, CA 91107-5509 | 2020-08-02 |
| 1508417999 | Pasadena Modern Dentistry, PC | Dentist | 5714 Fairmont Pkwy, Pasadena, TX 77505-3906 | 2019-09-26 |
| 1528629300 | Aditya Wagh | Dentist | 2000 Richey St Ste B, Pasadena, TX 77502-3332 | 2019-06-24 |
| 1518475540 | Seleem Dental Inc. | Dentist | 133 S Los Robles Ave Unit 100, Pasadena, CA 91101-5824 | 2018-01-11 |
| 1760923429 | Giselle Galanto | Dentist | 267 S Oak Knoll Ave, Apt 18, Pasadena, CA 91101-2925 | 2017-03-14 |
| 1134592199 | Southern Dental At Pasadena Pllc | Dentist | 7219 Fairmont Pkwy Ste 100, Pasadena, TX 77505-4612 | 2015-11-12 |
| 1003286519 | Tian Jin | Dentist | 788 E Walnut St, Pasadena, CA 91101-1638 | 2015-09-28 |
| 1942676382 | Arianna Damian Yeh | Dentist | 164 N Oak Knoll Ave, Apt 7, Pasadena, CA 91101-1846 | 2015-08-20 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1861878969 | Abc Dentistry Pasadena Pa | Dentist | 1500 Southmore Ave, Pasadena, TX 77502-1307 | 2015-07-31 |
| Find all providers in PASADENA | ||||
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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.