DEERFIELD FAMILY DENTISTRY (NPI# 1205213741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205213741 |
| Entity Type | Organization |
| Organization Name | DEERFIELD FAMILY DENTISTRY |
| Practice Address |
1369 S Military Trail Deerfield Beach FL 33442 |
| Practice Telephone | 9544809488 |
| Practice Fax Number | 9544809486 |
| Mailing Telephone | 9544809488 |
| Mailing Fax Number | 9544809486 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | ILYA STERN (PRESIDENT) |
| Authorized Official Telephone | 9544809488 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN14972 | FL | Dental Providers |
| Street Address |
1369 S MILITARY TRAIL |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| 1194203810 | Advance Urgent Care | Clinic/Center | 1827 W Hillsboro Blvd, Suite A, Deerfield Beach, FL 33442 | 2018-08-03 |
| 1972096410 | Michael Roy Turner | Nurse Anesthetist, Certified Registered | 2162 Woodlands Way, Deerfield Beach, FL 33442 | 2018-06-09 |
| 1306397187 | Michael Ovad | Behavioral Analyst | 1239 E Newport Center Dr #101, Deerfield Beach, FL 33442 | 2016-10-17 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1144683525 | Jennifer Garcia | Physical Therapy Assistant | 2259-a W. Hillsboro Road, Deerfield Beach, FL 33442 | 2016-04-01 |
| 1972982635 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 3321 W. Hillsboro Blvd, Deerfield Beach, FL 33442 | 2015-05-27 |
| 1952792707 | Bocacare Inc | Clinic/Center | 3313 W Hillsboro Blvd Ste 100, Deerfield Bch, FL 33442 | 2015-02-16 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| 1356690127 | Frank Lee Gober | Dentist | 1800 W. Hillsboro Blvd., Suite 210, Deerfield Bch, FL 33442 | 2012-09-07 |
| Find all providers in zip 33442 | ||||
| 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 |
|---|---|---|---|---|
| 1427516202 | Fatimah Jasmine Waseem | Dentist | 778 S Federal Hwy, Deerfield Beach, FL 33441-5767 | 2019-03-11 |
| 1417300435 | C Nick Deture Pa | Dentist | 1500 E Hillsboro Blvd Ste 101, Deerfield Beach, FL 33441-4356 | 2016-07-14 |
| 1396127908 | Melanie Rose Sanches | Dentist | 1931 Ne 2nd St # St304, Deerfield Beach, FL 33441-3741 | 2015-06-19 |
| 1730480195 | Nelson Robert Marques | Dentist | 744 Rich Dr, Deerfield Beach, FL 33441-7867 | 2010-11-16 |
| 1083926075 | Sage Dental of Deerfield Beach, Pllc | Dentist | 2265 W Hillsboro Blvd, Deerfield Beach, FL 33442-1114 | 2010-07-08 |
| 1023208147 | Ivan E Vega | Dentist | 123 N Powerline Rd, Ste #a-6, Deerfield Beach, FL 33442-8037 | 2007-07-25 |
| 1649494949 | Joseph Arthur Ortlieb | Dentist | 313 Se 15th Ter, Deerfield Beach, FL 33441-4472 | 2007-04-11 |
| 1558584938 | Mark Boukzam Dmd Pa | Dentist | 4048 W Hillsboro Blvd, Deerfield Beach, FL 33442 | 2007-04-11 |
| 1548483381 | Justine Cowen Bons | Dentist | 10 Fairway Drive, Suite 101, Deerfield Beach, FL 33441 | 2007-04-10 |
| 1114042272 | Christopher Nicholas Deture | Dentist | 1500 East Hillsboro Blvd., #101, Deerfield Beach, FL 33441 | 2007-03-20 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33442 |
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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.