NEW IMAGE DENTISTRY ON MINTON (NPI# 1063826170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063826170 |
| Entity Type | Organization |
| Organization Name | NEW IMAGE DENTISTRY ON MINTON |
| Practice Address |
5132 Minton Rd Nw Ste 1 Palm Bay FL 32907-1110 |
| Practice Telephone | 3217259595 |
| Mailing Telephone | 3217259595 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MOHAMMED MUJEEB (OWNER) |
| Authorized Official Telephone | 3217259595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN13401 | FL | Dental Providers |
| Street Address |
5132 MINTON RD NW STE 1 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| 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 |
|---|---|---|---|---|
| 1700436615 | Gladysbel Jimenez | Dentist | 5132 Minton Rd Nw, Palm Bay, FL 32907-1110 | 2019-09-13 |
| 1952875635 | Luis Carlos Mejia | Dentist | 620 Malabar Rd Se Ste 3, Palm Bay, FL 32907-3109 | 2019-01-16 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| 1174803340 | Ronald Gene List | Dentist | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2011-08-19 |
| 1134427859 | Mark Joseph Urban | Dentist | 2061 Palm Bay Rd Ne, Suite #103, Palm Bay, FL 32905-7533 | 2011-03-03 |
| 1306155163 | Robert Willard Underill Jr. | Dentist | 2156 Julian Ave Ne, Palm Bay, FL 32905-4020 | 2010-09-28 |
| 1669780284 | Capeside Dental | Dentist | 3265 Bayside Lakes Blvd Se, Palm Bay, FL 32909-6872 | 2010-09-16 |
| 1326233214 | Andrea Elaine Cunningham | Dentist | 620 Malabar Rd Se, Suite 3, Palm Bay, FL 32907 | 2007-09-13 |
| 1831396282 | Jefferson Michael Pecora | Dentist | 2105 Palm Bay Road Ne Ste 4-5, Palm Bay, FL 32905 | 2007-06-29 |
| 1629282504 | Lori Dianne Nelson | Dentist | 730 Emerson Dr. Nw, Palm Bay, FL 32907 | 2007-05-09 |
| Find all providers in PALM BAY | ||||
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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.