DR. ANDREW JOHN PAKCHOIAN (NPI# 1356656805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356656805 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOHN PAKCHOIAN |
| Credential | D.D.S. |
| Practice Address |
2005 Knight Lane Bldg H Attn: Medical Staff Services, Navy Medicine Support Com Jacksonville FL 32212-0140 |
| Mailing Address |
4850 Chardonnay Dr Coral Springs FL 33067-4120 |
| Practice Telephone | 6195328600 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
60579 | CA | Dental Providers |
| Street Address |
2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES, NAVY MEDICINE SUPPORT COM |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828753 | Ruston L Hess | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 | 2005-08-19 |
| 1346764586 | Nataly Yoncee | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-07-31 |
| 1538618392 | Scott Westra | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-22 |
| 1902354772 | Mark Warner | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-21 |
| 1124491352 | Maurice Hardy | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Attn:medical Staff Services Navy Mecine Support Command, Jacksonville, FL 32212 | 2015-11-10 |
| 1457729931 | Andrew Korcek | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-14 |
| 1427434232 | William Paul Alexander | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-08-04 |
| 1023498797 | Chhama Sarawagi | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2015-06-08 |
| 1962806901 | Kathrina Sarmiento | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-10-20 |
| 1033528724 | Joseph Jarman | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252573 | Rutvi Harshadbhai Vyas | Dentist | 1395 Center Dr Rm D1-85, Gainesville, FL 32610-3006 | 2020-10-12 |
| 1629686787 | Vivian Diaz | Dentist | 1395 Center Dr Rm D8-18b, Gainesville, FL 32610-3006 | 2020-07-15 |
| 1194241604 | Sergio Leonidas Palacios | Dentist | 1395 Center Dr Apt D8-18, Gainesville, FL 32610-3006 | 2017-08-16 |
| 1982150934 | Uf | Dentist | 1395 Center Dr # D8-18, Gainesville, FL 32610-0406 | 2016-08-30 |
| 1265985451 | Karen M Gaines | Dentist | Ufl College of Dentistry, 1395 Center Dr. D8-18, Gainesville, FL 32610-0001 | 2016-07-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1902264385 | Fatma Badr | Dentist | 5400 Nw 39th Ave Apt H44, Gainesville, FL 32606-6949 | 2016-02-01 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1598008153 | Matthew Christian Hansen | Dentist | 7934 Sw 80th Dr, Gainesville, FL 32608-9534 | 2013-04-02 |
| 1720696891 | Raghd Abdulrahman Alansari | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on DR. ANDREW JOHN PAKCHOIAN.
| 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.