COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. (NPI# 1376158030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376158030 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Practice Address |
625 N Us Highway 441 Lady Lake FL 32159-3714 |
| Practice Telephone | 3527023681 |
| Mailing Telephone | 3527023681 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care on Fennell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1992310866 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12152 Mercado Dr, Venice, FL 34293-1155 | 2020-09-09 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1780293779 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 300 Alt 19 Ste B, Palm Harbor, FL 34683-5356 | 2020-07-27 |
| 1013534023 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7255 Kathleen Rd, Lakeland, FL 33810-4722 | 2020-06-26 |
| 1316566078 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4921 State Road 674, Wimauma, FL 33598-3534 | 2020-04-13 |
| 1124657572 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 9749 Commercial Way, Weeki Wachee, FL 34613-3979 | 2020-04-07 |
| 1174157275 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5837 Seven Mile Dr, Wildwood, FL 34785-8852 | 2020-02-27 |
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| 1902439698 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12926 Us Highway 301 S Ste 5, Riverview, FL 33578-7458 | 2020-02-20 |
| Street Address |
625 N US HIGHWAY 441 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| 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 |
|---|---|---|---|---|
| 1982052262 | Lady Lake Smiles Dentistry, Pa | Dentist | 870 N Us Highway 27, A, Lady Lake, FL 32159-3107 | 2016-05-27 |
| 1376942748 | Chitra Nagaraj | Dentist | 38705 Oak Place Ct, Lady Lake, FL 32159-6059 | 2014-08-21 |
| 1699014944 | Comfortable Care Dental Health Professionals | Dentist | 13851 N Us Highway 441, Lady Lake, FL 32159-8924 | 2013-02-06 |
| 1669766978 | Quinta Idiare | Dentist | 560 N Us Highway 27 # 441, Lady Lake, FL 32159-3776 | 2011-06-03 |
| 1295053809 | Serenity Dentistry Spa, LLC | Dentist | 972 Del Mar Dr, Lady Lake, FL 32159-7705 | 2010-05-06 |
| 1568652949 | Milton C. Vanmeter | Dentist | 940 Kingmont Ter, Lady Lake, FL 32162-6650 | 2007-07-31 |
| 1417003401 | Kenneth Cohrn | Dentist | 422 Teague Trl, Lady Lake, FL 32159-3769 | 2007-01-25 |
| 1497854871 | Thomas Kevin Bailey | Dentist | 13700 N Us Highway 441, Lady Lake, FL 32159-8980 | 2006-09-21 |
| 1477576486 | Kelly Hud Leaird | Dentist | 918 Rolling Acres Rd Ste 7, Lady Lake, FL 32159-5026 | 2006-07-25 |
| 1285242107 | Lorena Delgado | Dentist | 870 N Us Highway 27, Lady Lake, FL 32159-3107 | 2020-07-16 |
| Find all providers in LADY LAKE | ||||
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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.