DR. BRENT J BRACCO (NPI# 1073721981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073721981 |
| Entity Type | Individual |
| Full Name | DR. BRENT J BRACCO |
| Credential | DDS |
| Practice Address |
2461 E Commercial Blvd Ft Lauderdale FL 33308-4020 |
| Practice Telephone | 9547715303 |
| Practice Fax Number | 9547712032 |
| Mailing Telephone | 9547715303 |
| Mailing Fax Number | 9547712032 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 10456 | FL | Dental Providers |
| Street Address |
2461 E COMMERCIAL BLVD |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| 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 |
|---|---|---|---|---|
| 1215418108 | Heather Lynn Ryan | Dentist | 4800 Ne 20th Ter Ste 302, Ft Lauderdale, FL 33308-4510 | 2018-08-28 |
| 1881836401 | Broward Dental Spa | Dentist | 2161 E Commercial Blvd Fl 1, Ft Lauderdale, FL 33308-3810 | 2009-03-27 |
| 1225295603 | Bryan William Berry | Dentist | 800 E Broward Blvd Ste 410, Ft Lauderdale, FL 33301-2033 | 2008-05-21 |
| 1609055532 | Ravin S. Mehta | Dentist | 3796 Nw 19th St, Ft Lauderdale, FL 33311-4122 | 2007-10-28 |
| 1821283847 | Herman Allen | Dentist | 2323 Nw 19th Street, Suite 1, Ft Lauderdale, FL 33311-3400 | 2007-09-12 |
| 1750572723 | Bruce L Bartos | Dentist | 1027 Se 17th St, Ft Lauderdale, FL 33316 | 2007-08-06 |
| 1578762860 | Travis Andre Weeks | Dentist | 511 Se 5th Ave, #2408, Ft Lauderdale, FL 33301-2984 | 2007-07-16 |
| 1639390628 | David Peter Szczesny | Dentist | 1900 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1104 | 2007-05-01 |
| 1932329901 | Lloyd A Sipkin Dds Pa | Dentist | 2655 East Oakland Pk Blvd, Ft Lauderdale, FL 33306 | 2007-05-01 |
| 1356463566 | William Wayne Bassett | Dentist | 2626 East Commercial Blvd, Ft Lauderdale, FL 33308 | 2007-04-06 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
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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.