GARY MICHAEL LEASE (NPI# 1316945751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316945751 |
| Entity Type | Individual |
| Full Name | GARY MICHAEL LEASE |
| Credential | DMD |
| Practice Address |
1296 W Broad St Groveland FL 34736-2012 |
| Mailing Address |
Po Box 1249 Apopka FL 32704-1249 |
| Practice Telephone | 4079058827 |
| Practice Fax Number | 3524291257 |
| Mailing Telephone | 4079058827 |
| Mailing Fax Number | 4079058998 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2011-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN13231 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 071836000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338182 | Gary Allen Lease | Family Medicine | 510 Greenbriar Rd, York, PA 17404-1335 | 2005-07-07 |
| Street Address |
1296 W BROAD ST |
| City | GROVELAND |
| State | FL |
| Zip Code | 34736-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854847 | Catalin Teodoru | Dentist | 1296 W Broad St, Groveland, FL 34736-2012 | 2005-07-11 |
| 1649653189 | Alexandra Pizzi | Pediatrics | 1296 W Broad St, Groveland, FL 34736-2012 | 2015-07-01 |
| 1770767873 | Joanne Robertson | Nurse Practitioner | 1296 W Broad St, Groveland, FL 34736-2012 | 2007-12-26 |
| 1184740110 | Shashi Yuvraj Yoganand | Family Medicine | 1296 W Broad St, Groveland, FL 34736-2012 | 2007-03-21 |
| 1295863884 | Community Health Centers, Inc | Pharmacy | 1296 W Broad St, Groveland, FL 34736-2012 | 2007-03-02 |
| 1255415535 | Community Health Centers, Inc | Clinic/Center | 1296 W Broad St, Groveland, FL 34736-2012 | 2006-10-24 |
| 1922197243 | Community Health Centers, Inc | Clinic/Center | 1296 W Broad St, Groveland, FL 34736-2012 | 2006-10-12 |
| 1558452417 | Hafusat Abosede Oni | Family Medicine | 1296 W Broad St, Groveland, FL 34736-2012 | 2006-09-27 |
| 1174543565 | Shea Ann Humphrey | Family Medicine | 1296 W Broad St, Groveland, FL 34736-2012 | 2006-07-20 |
| 1245258565 | Luis Angel Estrada | Dentist | 1296 W Broad St, Groveland, FL 34736-2012 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893067 | Jeremy Watkins | Behavior Technician | 12325 Dry Fork Road, Groveland, FL 34736 | 2018-06-04 |
| 1447703863 | Thrive Psychological Services | Psychologist | 446 Sauvignon Way, Groveland, FL 34736 | 2016-08-02 |
| 1619339561 | Michael Medlin | Social Worker | 6629 Lake Erie Rd, Groveland, FL 34736 | 2016-03-21 |
| 1508226036 | Audreka Felix | Case Management | 128 Catherine Ln, Groveland, FL 34736 | 2016-02-25 |
| 1215257506 | Xavier Sigler | Pharmacist | 7777 Highway 50, Groveland, FL 34736 | 2010-06-09 |
| 1740509975 | Peter Aragones | Pharmacist | 7777 Hwy 50, Groveland, FL 34736 | 2010-05-27 |
| 1780849414 | Jennifer Kaminski | Speech-Language Pathologist | 1216 Demoiselle St, Groveland, FL 34736 | 2008-07-22 |
| 1669406617 | Christopher Saputa | General Practice | 1296 W Broad Street, Groveland, FL 34736 | 2006-07-10 |
| 1326129032 | Darren E Marsh | Pharmacist | South Lake Family Health Center, 1296 W Broad Street, Groveland, FL 34736-2012 | 2006-10-18 |
| 1235587098 | Gina Baggett | Behavioral Analyst | 4902 Mount Pleasant Rd, Groveland, FL 34736-2050 | 2016-06-01 |
| Find all providers in zip 34736 | ||||
| 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 |
|---|---|---|---|---|
| 1023440955 | Jose Luis Bustos | Dentist | 18661 Hwy 120, Groveland, CA 95321-9432 | 2013-08-02 |
| 1407854847 | Catalin Teodoru | Dentist | 1296 W Broad St, Groveland, FL 34736-2012 | 2005-07-11 |
| 1487929949 | Village Dental LLC | Dentist | 156 Main St, Groveland, MA 01834-1311 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
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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.