DR. JENNIFER MARINO (NPI# 1164621918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164621918 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARINO |
| Credential | DDS |
| Practice Address |
1375 Town Center Dr Lakeland FL 33803-7964 |
| Practice Telephone | 2107253055 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN17859 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1003463720 | Jennifer Marino | Counselor | 1216 Pine St Ste 300, Seattle, WA 98101-1959 | 2019-08-19 |
| 1083163513 | Jennifer Marino | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2016-09-26 |
| 1487062386 | Jennifer Marino | Pharmacist | 20417 Biscayne Blvd, Aventura, FL 33180-1528 | 2014-07-24 |
| 1710398037 | Jennifer Marino | Physician Assistant | 1425 Pompton Ave, #1, Cedar Grove, NJ 07009-1043 | 2014-05-09 |
| 1538589213 | Jennifer G Marino | Adult Companion | 5023 Ne Killingsworth, Portland, OR 97218 | 2014-04-22 |
| 1073959334 | Jennifer Anne Marino | Physical Therapist | 16645 Highland Rd, # L, Baton Rouge, LA 70810-6567 | 2013-05-14 |
| 1639385859 | Jennifer Marino | Social Worker | 18 Claremont Ave, Arlington, MA 02476-5812 | 2007-05-15 |
| 1518099415 | Jennifer Marino | Social Worker | 1989 Route 52, Hopewell Jct, NY 12533-3533 | 2007-03-09 |
| Street Address |
1375 TOWN CENTER DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-7964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144547597 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1375 Town Center Dr, Lakeland, FL 33803-7964 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1407344435 | Dentists of Lakeland, Pa | Dentist | 3700 Us Highway 98 N Ste 105, Lakeland, FL 33809-3809 | 2018-04-25 |
| 1235649518 | Lakeland Modern Dentistry, Pa | Dentist | 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166 | 2017-10-02 |
| 1316497134 | Dental Associates of Florida (s. Lakeland) Pllc | Dentist | 444 W Pipkin Rd, Lakeland, FL 33813-2612 | 2016-10-05 |
| 1023564903 | Georges Raffoul | Dentist | 2744 South Florida Ave, Lakeland, FL 33584 | 2016-08-30 |
| 1295289171 | Kendrah Lynn Harper | Dentist | 600 W Peachtree St, Lakeland, FL 33815-1504 | 2016-08-09 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1144605320 | Austin Jordan Davis | Dentist | 8950 Us Highway 64 Ste 108, Lakeland, TN 38002-4566 | 2015-07-29 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1174827901 | Affordable Dentures - Lakeland, P.a. | Dentist | 3615 S Florida Ave Ste 1230, Lakeland, FL 33803-4808 | 2011-01-09 |
| 1407164502 | Shannon Holer Kelso | Dentist | 2156 Harden Blvd., Lakeland, FL 33803 | 2010-09-23 |
| Find all providers in LAKELAND | ||||
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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.