AZOV DENT INC (NPI# 1215164272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215164272 |
| Entity Type | Organization |
| Organization Name | AZOV DENT INC |
| Other Organization Name | DENTAL EXCELLENCE OF ENGLEWOOD |
| Practice Address |
2025 South Mccall Rd Englewood FL 34241 |
| Practice Telephone | 9414741245 |
| Practice Fax Number | 9414752411 |
| Mailing Telephone | 9414741245 |
| Mailing Fax Number | 9414752411 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. ALEXEI MIKERIN (PRESIDENT) |
| Authorized Official Telephone | 9412665217 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 15210 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Excellence of Englewood | Doing Business As Name - Organization |
| Street Address |
2025 SOUTH MCCALL RD |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588775050 | Alexei Mikerin | Dentist | 2025 South Mccall Rd, Englewood, FL 34241 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619466406 | Sandra T. F Van Gennip | Nurse Practitioner | 3930 Westminster Dr, Sarasota, FL 34241 | 2018-05-07 |
| 1780036392 | Kirsten Alyse Patterson | Physician Assistant | 10940 E Sr 70, Suite 103, Lakewood Ranch, FL 34241 | 2016-07-07 |
| 1447597968 | Dennis Dean Rudolph | Pharmacist | 5404 Harrow Ter., Sarasota, FL 34241 | 2013-01-04 |
| 1245451392 | Ryan D Handrich | Massage Therapist | 4097 Malden Dr., Sarasota, FL 34241 | 2007-05-02 |
| 1407077738 | Kathleen Casey Rafferty | Marriage & Family Therapist | 4101 Macaulay Ln, Sarasota, FL 34241 | 2007-05-02 |
| 1811039795 | Matthew D Byers Md Pllc | Otolaryngology | 7447 Paurotis Ct, Sarasota, FL 34241 | 2007-02-13 |
| 1063564888 | Lori Hoffer | Social Worker | 6271 Yellow Wood Pl, Sarasota, FL 34241 | 2007-01-18 |
| 1134627268 | Randy J Hu | Pharmacist | 7821 Passionflower Dr, Sarasota, FL 34241-1003 | 2018-01-23 |
| 1073814224 | Marvin D Bouchon | Pharmacist | 4513 Tuscana Dr, Sarasota, FL 34241-4202 | 2010-11-04 |
| 1437419090 | Marc D Baker | Pharmacist | 7662 Trillium Blvd, Sarasota, FL 34241-5206 | 2012-05-16 |
| Find all providers in zip 34241 | ||||
| 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 |
|---|---|---|---|---|
| 1942864509 | Sopris Smiles | Dentist | 1610 E Girard Pl Ste B, Englewood, CO 80113-3100 | 2019-04-29 |
| 1366960775 | On-site Dentist, LLC | Dentist | 10734 E Berry Ave, Englewood, CO 80111-3972 | 2017-09-06 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1992155311 | Elizabeth Knott | Dentist | 101 W Hampden Ave Unit A, Englewood, CO 80110-2475 | 2016-06-16 |
| 1104274976 | Amar Mistry | Dentist | 9000 N Main St Ste 207, Englewood, OH 45415-1165 | 2016-06-02 |
| 1881077691 | Benjamin Charles Bass | Dentist | 6501 E Belleview Ave, Suite 120, Englewood, CO 80111-6022 | 2015-06-30 |
| 1194134064 | Kimberlie A Yun | Dentist | 401 S Van Brunt St # 404, Englewood, NJ 07631-4604 | 2014-08-05 |
| 1588097760 | Weerasooriya and Weerasooirya Dmd Pa | Dentist | 1861 Placida Rd Ste 105, Englewood, FL 34223-4900 | 2013-08-12 |
| 1720424633 | Mani Farzim | Dentist | 10500 Spring Green Dr Apt 110, Englewood, CO 80112-5745 | 2013-05-18 |
| 1538466065 | Dasilva Family Dentistry | Dentist | 11435 E Briarwood Ave Ste 400, Englewood, CO 80112-3828 | 2011-02-18 |
| Find all providers in ENGLEWOOD | ||||
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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.