MCKINZIE JEFFREY (NPI# 1073996757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996757 |
| Entity Type | Individual |
| Full Name | MCKINZIE JEFFREY |
| Credential | D.D.S. |
| Practice Address |
304 Glen Ave Valparaiso FL 32580-1233 |
| Practice Telephone | 8506784151 |
| Practice Fax Number | 8506788722 |
| Mailing Telephone | 8506784151 |
| Mailing Fax Number | 8506788722 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21400 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015213100 | 05 |
| Street Address |
304 GLEN AVE |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780622647 | Shawn A. Mitchell | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2006-06-03 |
| 1093181232 | Alex J. Jeffrey | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2015-08-11 |
| 1528441003 | Jeffrey Dental Clinic | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1255635348 | Annette Brabham Od Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2011-01-04 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| Find all providers in zip 32580 | ||||
| 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 |
|---|---|---|---|---|
| 1629639018 | Wade Wilson | Dentist | 334 W Us Highway 30 Ste G, Valparaiso, IN 46385-5395 | 2019-06-26 |
| 1013368695 | Megan Schmidt | Dentist | 2005 Roosevelt Rd Ste B, Valparaiso, IN 46383-2746 | 2016-06-25 |
| 1881044105 | Bilal Alnahass | Dentist | 503 Silhavy Rd Ste 105, Valparaiso, IN 46383-4494 | 2016-06-17 |
| 1306229562 | Bradley Wisowaty | Dentist | 809 Wall St Ste A, Valparaiso, IN 46383-2571 | 2015-07-07 |
| 1528349800 | Isaac Nathan Zeckel | Dentist | 1001 North Sturdy Rd., Valparaiso, IN 46383-4126 | 2011-08-31 |
| 1093025785 | William Stanley Anderson | Dentist | 2602 Valley Dr, Valparaiso, IN 46383-2511 | 2010-10-14 |
| 1528181286 | Vinay Aswath | Dentist | 2050 Laporte Ave., Suite 111, Valparaiso, IN 46383 | 2007-04-09 |
| 1114045242 | William Craig Amos | Dentist | 3100 N Campbell St, Valparaiso, IN 46385 | 2007-03-27 |
| 1124187398 | Michael John Uzelac | Dentist | 850 Marsh St, Suite A, Valparaiso, IN 46385 | 2006-12-06 |
| 1265501092 | Robert Fleming Shankland | Dentist | 105 Lafayette Street, Valparaiso, IN 46383 | 2006-11-07 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
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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.