DENTISTS OF PALM BEACH GARDENS, PA (NPI# 1275000879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275000879 |
| Entity Type | Organization |
| Organization Name | DENTISTS OF PALM BEACH GARDENS, PA |
| Practice Address |
5380 Donald Ross, Rd. Suite 100 Palm Beach Gardens FL 33418 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 5613237117 |
| Practice Fax Number | 5616934484 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 3039520982 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. KATIE L MCCANN LEE (OWNER/GENERAL DENTIST) |
| Authorized Official Telephone | 5613237117 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Palm Beach Gardens | Doing Business As Name - Organization |
| Street Address |
5380 DONALD ROSS, RD. SUITE 100 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1518438852 | Jessica E Harrison, Lcsw | Clinic/Center | 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418 | 2018-12-16 |
| 1861979932 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5410 Donald Ross Rd, Palm Beach Gardens, FL 33418 | 2018-07-23 |
| 1194240150 | Private Home Care LLC | Home Health | 5211 Celery Ln, Palm Beach Gardens, FL 33418 | 2017-08-10 |
| 1053836791 | Ashley Mooney | Pharmacist | 6251 Ave of The Pga, Palm Beach Gardens, FL 33418 | 2017-08-03 |
| 1063950343 | Spinal Motion Diagnostics Fort Lauderdale LLC | Clinic/Center | 8435 Man O War Road, Palm Beach Gardens, FL 33418 | 2017-02-07 |
| 1588108823 | Fernando Javier Rodriguez | Pharmacist | 290 Woodbine Way, Apt 215, Riviera Beach, FL 33418 | 2016-12-06 |
| 1811430036 | Lauren Alexandra Kratofil | Physical Therapist | 300 Avenue of The Champions, Palm Beach Gardens, FL 33418 | 2016-11-19 |
| 1417403221 | Ahava-5772, LLC | Chiropractor | 5540 Pga Boulevard, Suite 100, Palm Beach Gardens, FL 33418 | 2016-08-31 |
| 1164886016 | Michela C Curti | Nutritionist | 8035 Murano Circle, Palm Beach Gardens, FL 33418 | 2016-04-07 |
| Find all providers in zip 33418 | ||||
| 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 |
|---|---|---|---|---|
| 1871059907 | Mark T Damerau | Dentist | 400 Village Square Xing Ste 1, Palm Beach Gardens, FL 33410-3220 | 2019-02-13 |
| 1275072159 | Joseph R Depalo | Dentist | 200 Village Square Xing Ste 101, Palm Beach Gardens, FL 33410-4411 | 2017-02-13 |
| 1548631229 | Poorvi Gandhi | Dentist | 9810 Highway A1a Alternate, Promenade Plaza Suite #106, Palm Beach Gardens, FL 33410 | 2015-10-07 |
| 1124407762 | Joaquin Camejo Iv | Dentist | 11682 Us Highway 1 Ste 60b, Palm Beach Gardens, FL 33408-3035 | 2015-05-28 |
| 1447649470 | James Gustav Vandenberghe | Dentist | 5035 Magnolia Bay Cir, Palm Beach Gardens, FL 33418-6732 | 2015-01-14 |
| 1134530348 | Sharon L Gilbert | Dentist | 11701 Lake Victoria Gardens, Suite 2201, Palm Beach Gardens, FL 33410 | 2014-05-12 |
| 1700216769 | Patrick Leconte | Dentist | 2000 Pga Blvd, Ste 3120, Palm Beach Gardens, FL 33408-2722 | 2013-11-12 |
| 1083954036 | Keith Adams Dewindt | Dentist | 2700 P G A Blvd, Suite 202, Palm Beach Gardens, FL 33410-2958 | 2013-02-27 |
| 1467715706 | Anna Gombar | Dentist | 9121 N Military Trl Ste 209, Palm Beach Gardens, FL 33410-5988 | 2012-06-21 |
| 1659631307 | Mark B Gilbert | Dentist | 11701 Lake Victoria Gardens Ave, Suite 2201, Palm Beach Gardens, FL 33410-2706 | 2012-05-29 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33418 |
Please comment or provide details below to improve the information on DENTISTS OF PALM BEACH GARDENS, PA.
| 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.