PIKE PEDIATRIC DENTISTRY PA (NPI# 1366715716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366715716 |
| Entity Type | Organization |
| Organization Name | PIKE PEDIATRIC DENTISTRY PA |
| Practice Address |
1865 Nw Boca Raton Blvd Ste 102 Boca Raton FL 33432-1638 |
| Practice Telephone | 5613477006 |
| Mailing Telephone | 5613477006 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | DR. TALIA PIKE (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9548569955 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN17596 | FL | Dental Providers |
| Street Address |
1865 NW BOCA RATON BLVD STE 102 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003827288 | Michael Radu | Dentist | 1865 Nw Boca Raton Blvd, Ste 101, Boca Raton, FL 33432-1638 | 2006-08-11 |
| 1912375692 | Daniel Radu | Dentist | 1865 Nw Boca Raton Blvd, Suite 101, Boca Raton, FL 33432-1638 | 2015-09-11 |
| 1780972380 | Talia Pike | Dentist | 1865 Nw Boca Raton Blvd, Suite 102, Boca Raton, FL 33432-1638 | 2011-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856512 | Kaitlin Benchimol Rodriguez | Dentist | 9181 Glades Rd Ste 120, Boca Raton, FL 33434-3940 | 2015-11-17 |
| 1922407964 | Drew Popper | Dentist | 9930 Clint Moore Rd, Suite D102, Boca Raton, FL 33496-1038 | 2014-08-15 |
| 1013043710 | Erica E Barba | Dentist | 2499 Glades Rd Ste 208, Boca Raton, FL 33431-7201 | 2007-02-26 |
| 1851486443 | Gloria Jacqueline Galvez | Dentist | 21301 Powerline Rd., Ste. 208, Boca Raton, FL 33433 | 2006-10-03 |
| 1669580338 | Frank J Maye | Dentist | 19615 State Road 7 Ste 33, Boca Raton, FL 33498-4700 | 2006-08-25 |
| 1053325852 | Paul Werner | Dentist | 22144 Verbena Way, Boca Raton, FL 33433-4813 | 2006-07-28 |
| 1639541006 | Arfa Dent, Inc | Dentist | 7301 W Palmetto Park Rd Ste 203b, Boca Raton, FL 33433-3456 | 2015-10-26 |
| 1538547120 | Hirsch Dentistry | Dentist | 7000 W Palmetto Park Rd, Boca Raton, FL 33433-3424 | 2015-05-14 |
| 1902174360 | Frank J. Maye, Dmd, Pa | Dentist | 19615 State Road 7 Ste 33, Boca Raton, FL 33498-4700 | 2011-12-13 |
| 1780972380 | Talia Pike | Dentist | 1865 Nw Boca Raton Blvd, Suite 102, Boca Raton, FL 33432-1638 | 2011-07-16 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on PIKE PEDIATRIC DENTISTRY PA.
| 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.