DR. AVANIKA KHANNA (NPI# 1114576402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114576402 |
Entity Type | Individual |
Full Name | DR. AVANIKA KHANNA |
Other Name | DR. AVANIKA KHANNA GROVER |
Credential | DDS |
Practice Address |
685 Crosswater Pkwy Ste A Ponte Vedra Beach FL 32081-0769 |
Mailing Address |
8309 Highgate Dr Jacksonville FL 32216-1480 |
Practice Telephone | 9046861400 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
24352 | FL | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
8309 Highgate Dr, Jacksonville, FL 322161480 | 4693239093 |
Street Address |
685 CROSSWATER PKWY STE A |
City | PONTE VEDRA BEACH |
State | FL |
Zip Code | 32081-0769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679002570 | Jessica P Nixon | Dentist | 685 Crosswater Pkwy Ste A, Ponte Vedra Beach, FL 32081-0769 | 2017-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
Find all providers in zip 32081 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
1013340405 | Padmalatha Gottipati | Dentist | 13 Arbor Club Dr Unit 103, Ponte Vedra Beach, FL 32082-2615 | 2013-08-21 |
1114213147 | Sameh A Elgeziry | Dentist | 184 Azalea Point Dr S, Ponte Vedra Beach, FL 32082-4601 | 2011-06-28 |
1730481359 | Jason Samuel Olitsky | Dentist | 818 A1a N, Suite 209, Ponte Vedra Beach, FL 32082-3295 | 2010-12-02 |
1215078993 | Sears & Sears, D.d.s., P.a. | Dentist | 35 Executive Way, Suite 100, Ponte Vedra Beach, FL 32082-1000 | 2007-02-08 |
1104963826 | Suzanne M Ebert | Dentist | 151 Sawgrass Corners Dr, Suite 102, Ponte Vedra Beach, FL 32082-3553 | 2007-01-31 |
1194873224 | John Michael Dellaporta | Dentist | 135 Professional Dr, Suite 107, Ponte Vedra Beach, FL 32082-6276 | 2007-01-08 |
1063594125 | Ronald W. Howland Jr. | Dentist | 3209 Sawgrass Village Cir, Ponte Vedra Beach, FL 32082-5033 | 2006-10-19 |
1356443584 | Shreena B. Patel | Dentist | 150 Professional Dr Ste 100, Ponte Vedra Beach, FL 32082-7232 | 2006-09-01 |
1407863129 | Pamela Jeanne Evans | Dentist | 615 A1a N, Suite 103, Ponte Vedra Beach, FL 32082-2748 | 2006-08-02 |
Find all providers in PONTE VEDRA BEACH |
City | PONTE VEDRA BEACH |
Zip Code | 32081 |
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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.