SOUTH DENTAL HOMESTEAD (NPI# 1346490216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346490216 |
| Entity Type | Organization |
| Organization Name | SOUTH DENTAL HOMESTEAD |
| Practice Address |
925 Ne 30th Ter Ste 104 Homestead FL 33033-7614 |
| Practice Telephone | 3055087800 |
| Practice Fax Number | 3055087300 |
| Mailing Telephone | 3055087800 |
| Mailing Fax Number | 3055087300 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | DR. JAHN OPPENHEIMER (OWNER) |
| Authorized Official Telephone | 3053887599 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13563 | FL | Dental Providers |
| Street Address |
925 NE 30TH TER STE 104 |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| 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 |
|---|---|---|---|---|
| 1235777855 | Homestead Modern Dentistry, Pa | Dentist | 805 N Homestead Blvd, Homestead, FL 33030-5024 | 2019-12-13 |
| 1821499724 | Gustavo Borges | Dentist | 14941 Sw 301st Ter, Homestead, FL 33033-3767 | 2014-09-10 |
| 1720307572 | Jorge Carlos Fernandez-abril | Dentist | 2870 Ne 8th St, Homestead, FL 33033-5695 | 2010-05-19 |
| 1699006072 | Vanessa Johanna De Vera | Dentist | 833 North Homestead Blvd, Apartment # 601, Homestead, FL 33030-3104 | 2010-01-25 |
| 1912157629 | Dental Specialty Center of Homestead, Pa | Dentist | 925 Ne 30 Terrace Suite 114, Homestead, FL 33033 | 2008-09-30 |
| 1841468659 | Craig Allan Roth | Dentist | 950 North Krome Ave, Suite #207, Homestead, FL 33030 | 2008-02-14 |
| 1225211121 | Dental Services of Homestead,pa | Dentist | 25001 Sw 127th Ave, Homestead, FL 33032-5834 | 2007-12-13 |
| 1720297724 | Stephen L Kondis | Dentist | 1341 Breezewood Dr, Homestead, PA 15120-1318 | 2007-05-22 |
| 1619186293 | Gary Peter Senk | Dentist | 381 N Krome Ave Ste 209, Homestead, FL 33030-6047 | 2007-05-21 |
| 1891900049 | Nick Lekkas | Dentist | 2870 Ne 8th St., Homestead, FL 33186 | 2007-05-11 |
| Find all providers in HOMESTEAD | ||||
Please comment or provide details below to improve the information on SOUTH DENTAL HOMESTEAD.
| 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.