COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1366975575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366975575 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | TRADITION PARKWAY DENTAL CARE |
| Practice Address |
10670 Sw Tradition Pkwy Port St Lucie FL 34987-2862 |
| Practice Telephone | 7722040759 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tradition Parkway Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1285080929 | Comfortable Care Dental Health Professionals, Pa | Dentist | 715 Palm Bay Rd Ne, Suite 107, West Melbourne, FL 32904-9167 | 2016-05-12 |
| 1568816155 | Comfortable Care Dental Health Professionals, Pa | Dentist | 16731 East Colonial Drive, Orlando, FL 32820 | 2016-04-20 |
| 1013379635 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2529 Santa Barbara Blvd, Suite 100, Cape Coral, FL 33914-4455 | 2016-03-23 |
| Street Address |
10670 SW TRADITION PKWY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244400 | Alejandra Michelle Riera De Jesus | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811482656 | Chi Nguyen | Dentist | 1100 Sw Saint Lucie West Blvd Ste 206, Port St Lucie, FL 34986-1735 | 2018-06-25 |
| 1801304977 | Tradition Dental, P.a. | Dentist | 1973 Sw Savage Blvd Ste 205, Port St Lucie, FL 34953-2791 | 2018-01-11 |
| 1427568195 | Kevin A Jones | Dentist | 1384 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-2109 | 2017-10-06 |
| 1053849919 | Kerry D Aston | Dentist | 499 Nw Prima Vista Blvd Unit 107, Port St Lucie, FL 34983-8786 | 2017-05-23 |
| 1548432321 | Ronald Craig Cusato | Dentist | 316 Nw Bethany Dr, Port St Lucie, FL 34986-3578 | 2008-04-01 |
| 1932397536 | Christopher Lawrence Petterson | Dentist | 10157 S Federal Hwy, Port St Lucie, FL 34952-5609 | 2007-10-09 |
| 1043426778 | Brian Marti Kusel | Dentist | 491 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2044 | 2007-05-16 |
| 1720290455 | Ryan Ellis Askeland | Dentist | 421 Sw Bethany Dr, Port St Lucie, FL 34986-2136 | 2007-05-04 |
| 1851414056 | John S Cairns | Dentist | 1343 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5366 | 2007-04-10 |
| 1336287804 | Mark Alan Barber | Dentist | 718 Se Becker Rd, Port St Lucie, FL 34984-6621 | 2007-02-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, 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.