DR. BARRY HOWARD STEVENS (NPI# 1073737912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073737912 |
Entity Type | Individual |
Full Name | DR. BARRY HOWARD STEVENS |
Credential | D.D.S. |
Practice Address |
2365 Park St Jacksonville FL 32204-4317 |
Practice Telephone | 9043881220 |
Practice Fax Number | 9043888220 |
Mailing Telephone | 9043881220 |
Mailing Fax Number | 9043888220 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN12212 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174521546 | Barry Scott Stevens | Radiology | 210 N Wilson Dr, West Union, OH 45693-1577 | 2005-07-11 |
Street Address |
2365 PARK ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204-4317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
Find all providers in zip 32204 |
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 |
---|---|---|---|---|
1023351152 | Gary R Manasse | Dentist | 8708 Perimeter Park Blvd., #3, Jacksonville, FL 32216 | 2013-03-27 |
1477743334 | Jason Scott Allen | Dentist | 12078 San Jose Blvd Ste 3, Jacksonville, FL 32223-8671 | 2007-07-27 |
1730201286 | Arthur Ross Young | Dentist | 4211 Southpoint Pkwy, Suite A, Jacksonville, FL 32216-0975 | 2007-04-04 |
1881736064 | Marion C Eldridge Jr. | Dentist | 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-1842 | 2007-02-13 |
1528172160 | Jeffrey W. Bowden, D.d.s., P.a. | Dentist | 5218 Jammes Rd, Suite C, Jacksonville, FL 32210-7700 | 2006-08-19 |
1558475947 | Leandro Rodrigues Britto | Dentist | 5218 Jammes Rd Ste C, Jacksonville, FL 32210-7740 | 2006-08-19 |
1689630758 | Claudio H. Varella | Dentist | 8810 Goodbys Executive Dr, Suite 2, Jacksonville, FL 32217-4699 | 2006-04-26 |
1275503765 | Benson J. Ybanez Dds and Associates Pa | Dentist | 50 Office Park Drive, Jacksonville, NC 28546 | 2006-01-25 |
1649251760 | Andrew James Calhoun | Dentist | 7043 Southpoint Pkwy S, Suite A, Jacksonville, FL 32216-8741 | 2005-11-07 |
1427397058 | Frederico Tepedino Dmd Pa | Dentist | 7645 Gate Pkwy, Suite 103, Jacksonville, FL 32256-2889 | 2013-02-01 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
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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.