DR. SERGIO JULIO JACAS (NPI# 1184004228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184004228 |
| Entity Type | Individual |
| Full Name | DR. SERGIO JULIO JACAS |
| Credential | D.M.D |
| Practice Address |
1720 Sw 47th Ave Fort Lauderdale FL 33317-5619 |
| Practice Telephone | 9546157964 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN21198 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN21198 | FL | Dental Providers |
| Street Address |
1720 SW 47TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33317-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| 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 |
|---|---|---|---|---|
| 1629536818 | Dentists of Fort Lauderdale, Pa | Dentist | 1865 Cordova Rd, Fort Lauderdale, FL 33316-2198 | 2019-03-06 |
| 1235694548 | Adam Geoffrey Danze | Dentist | 450 Ne 5th St Unit 146, Fort Lauderdale, FL 33301-3458 | 2019-01-31 |
| 1891285375 | Kelly Cundy Hart | Dentist | 2121 Ne 56th Ct, Fort Lauderdale, FL 33308-2502 | 2018-05-10 |
| 1073002259 | 1500 Dental LLC | Dentist | 1500 N Federal Hwy Ste 250, Fort Lauderdale, FL 33304-5603 | 2018-05-03 |
| 1144719444 | Libby Finer | Dentist | 2717 E Oakland Park Blvd Ste 100, Fort Lauderdale, FL 33306-1642 | 2018-05-02 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1508241951 | House of Dentistry | Dentist | 1314 Ne 13th Ave, Fort Lauderdale, FL 33304-1829 | 2015-07-28 |
| 1235523069 | Joseph J Thomas Dds Pa | Dentist | 4719 N Ocean Drive, Fort Lauderdale, FL 33308 | 2015-03-18 |
| 1669865572 | Thomas William Hussey | Dentist | 915 Se 8th St, Fort Lauderdale, FL 33316-1303 | 2015-03-17 |
| 1134480429 | Brent Alan Browning | Dentist | 1201 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1906 | 2012-06-03 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33317 |
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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.