DR. RAED SHAFIA AL KASEM (NPI# 1306996384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306996384 |
| Entity Type | Individual |
| Full Name | DR. RAED SHAFIA AL KASEM |
| Credential | DDS MS |
| Practice Address |
3165 Mcmullen Booth Rd Bldg A Suite #2 Clearwater FL 33761-2032 |
| Practice Telephone | 7277962183 |
| Practice Fax Number | 7277268827 |
| Mailing Telephone | 7277962183 |
| Mailing Fax Number | 7277268827 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN12183 | FL | Dental Providers |
| Street Address |
3165 MCMULLEN BOOTH RD BLDG A SUITE #2 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437294741 | Endodontic Associates | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite 2, Clearwater, FL 33761-2032 | 2007-02-21 |
| 1760534747 | Robert Henry Haller | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-18 |
| 1346392883 | Heidi Gale Korn | Dentist | 3165 Mcmullen Booth Rd, Bldg A Ste 2, Clearwater, FL 33761-2032 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942666284 | Liwen Tao D.d.s., M.s. | Dentist | 2753 State Road 580 Ste 108, Clearwater, FL 33761-3351 | 2015-12-31 |
| 1962714857 | Ami M Patel | Dentist | 3165 N Mcmullen Booth Rd Ste A2, Clearwater, FL 33761-2020 | 2010-07-08 |
| 1376718601 | Laurent Walter Belanger | Dentist | 2329 Sunset Point Rd Ste 201, Clearwater, FL 33765-1438 | 2008-04-28 |
| 1457482168 | Edward Dwight Kosakoski | Dentist | 2515 Countryside Blvd Ste A, Clearwater, FL 33763-1603 | 2007-03-07 |
| 1154401677 | Christopher L Ross | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2006-10-17 |
| 1417059551 | Liwen Tao | Dentist | 2753 State Rd 580, Ste 108, Clearwater, FL 33761 | 2006-09-01 |
| 1023042967 | Clearwater Dental Associates Pl | Dentist | 2226 Druid Road E, Clearwater, FL 33764 | 2006-07-10 |
| 1437316700 | Bay Area Endodontics LLP | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2008-05-22 |
| 1437294741 | Endodontic Associates | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite 2, Clearwater, FL 33761-2032 | 2007-02-21 |
| 1760534747 | Robert Henry Haller | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-18 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on DR. RAED SHAFIA AL KASEM.
| 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.