KENNETH A MOGELL DMD PA (NPI# 1285122044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285122044 |
| Entity Type | Organization |
| Organization Name | KENNETH A MOGELL DMD PA |
| Practice Address |
1400 Pine St Ste A Melbourne FL 32901-3170 |
| Mailing Address |
2900 N Military Trl Ste 212 Boca Raton FL 33431-6308 |
| Practice Telephone | 3213135350 |
| Practice Fax Number | 5619881102 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | ANNETTE MOGELL (SEC/TREAS) |
| Authorized Official Telephone | 5612712483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN10118 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1053660522 | Kenneth A Mogell Dmd Pa | Dentist | 1025 Military Trl Ste 210b, Jupiter, FL 33458-7040 | 2012-08-30 |
| 1063760445 | Kenneth A Mogell Dmd Pa | Dentist | 3735 11th Cir, Ste 105, Vero Beach, FL 32960-4844 | 2012-08-16 |
| Street Address |
1400 PINE ST STE A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1699334599 | Thomas Tolles | Dentist | 6340 N Wickham Rd Unit 101, Melbourne, FL 32940-2045 | 2019-06-13 |
| 1891281697 | Alisa Morgan Kleiman | Dentist | 6455 N Wickham Rd Unit 103, Melbourne, FL 32940-2020 | 2018-07-03 |
| 1871006742 | Dentists of Melbourne, Pa | Dentist | 6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020 | 2017-11-14 |
| 1144746116 | Viera Modern Dentistry, Pa | Dentist | 2328 Citadel Way, Suite 101, Melbourne, FL 32940 | 2017-08-21 |
| 1104209782 | New Image Dentistry | Dentist | 7827 N Wickham Rd, Suite A, Melbourne, FL 32940-8289 | 2015-07-01 |
| 1538549001 | Song Mao | Dentist | 1390 S Babcock St, Melbourne, FL 32901-3009 | 2015-05-31 |
| 1659769891 | Champaka Nagaraju | Dentist | 7777 N Wickham Rd Ste 4, Melbourne, FL 32940-7978 | 2014-12-22 |
| 1477960375 | Alexandros Tapper | Dentist | 3150 N Wickham Rd Ste 7, Melbourne, FL 32935-2322 | 2014-07-13 |
| 1700227923 | Dhiren Agrawal | Dentist | 249 Palm Bay Rd Ne, Melbourne, FL 32904-8602 | 2013-07-16 |
| 1992066757 | David I Sutton | Dentist | 2900 Lake Washington Rd Ste 3, Melbourne, FL 32935-3400 | 2012-06-07 |
| Find all providers in MELBOURNE | ||||
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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.