ANGEL R SANTIAGO (NPI# 1376656942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376656942 |
Entity Type | Individual |
Full Name | ANGEL R SANTIAGO |
Credential | D.M.D.M.S. |
Practice Address |
6323 Corporate Ct Suite B Fort Myers FL 33919-3506 |
Practice Telephone | 2394823343 |
Practice Fax Number | 2394823462 |
Mailing Telephone | 2394823343 |
Mailing Fax Number | 2394823462 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN16440 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558835884 | Angel Anthony Santiago Jr. | Technician | 518 W 6th St, Monahans, TX 79756-4428 | 2019-01-21 |
1194291732 | Angel E Santiago | Registered Nurse | Calle Guadalupe 184, Hospital Inspira, Ponce, PR 00730 | 2018-10-22 |
1336523687 | Angel M Santiago | Durable Medical Equipment & Medical Supplies | H16 Calle Laurel, Urb Campo Alegre, Bayamon, PR 00956-4452 | 2015-07-16 |
1669769576 | Angel Perez Santiago | Counselor | 216 Silver St Apt 3, Cedar Bluff, VA 24609-9161 | 2011-06-30 |
1568467926 | Angel Santiago Jr. | Chiropractor | 650 S Edmonds Ln, Ste 106, Lewisville, TX 75067-3554 | 2005-06-14 |
1962975532 | Angel Santiago | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 107, Fresno, CA 93711-3229 | 2019-01-07 |
Street Address |
6323 CORPORATE CT SUITE B |
City | FORT MYERS |
State | FL |
Zip Code | 33919-3506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043323223 | George M Kazakos | Dentist | 6323 Corporate Ct, Ste B, Fort Myers, FL 33919-3506 | 2006-08-15 |
1023486313 | Access Endodontics Pa | Dentist | 6323 Corporate Ct, Suite A, Fort Myers, FL 33919-3518 | 2015-09-03 |
1336374677 | Access Endodontics, Pa | Dentist | 6323 Corporate Ct, Fort Myers, FL 33919-3518 | 2009-05-15 |
1497922777 | Richard Michaud | Dentist | 6323 Corporate Ct, Fort Myers, FL 33919-3518 | 2008-05-14 |
1154449494 | Robert Dale Gear Sr. | Dentist | 6323 Corporate Ct, Suite A, Fort Myers, FL 33919-3506 | 2007-03-26 |
1346368693 | John Dennis Yavorsky | Dentist | 6323 Corporate Ct, Suite A, Fort Myers, FL 33919-3506 | 2007-03-26 |
1619033941 | Gear & Yavorsky D.d.s. P.a. | Dentist | 6323 Corporate Ct, Suite A, Fort Myers, FL 33919-3506 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205145521 | Vani Bhatnagar Prabakaran | Dentist | 34 Barkley Cir, Fort Myers, FL 33907-7530 | 2010-10-04 |
1831419456 | Anne Lindsey Broderick | Dentist | 7011 Cypress Ter, Suite 101, Fort Myers, FL 33907-8800 | 2010-06-04 |
1245478726 | Ryan Joseph Donovan | Dentist | 14361 Metropolis Ave Ste 3, Fort Myers, FL 33912-4453 | 2009-01-22 |
1174649636 | Ronny S. Taschner | Dentist | 1645 Medical Ln, Fort Myers, FL 33907-1110 | 2007-03-22 |
1639271299 | Kenneth Allen Jandik | Dentist | 35 Barkley Cir Ste 1, Fort Myers, FL 33907-7531 | 2006-09-03 |
1043323223 | George M Kazakos | Dentist | 6323 Corporate Ct, Ste B, Fort Myers, FL 33919-3506 | 2006-08-15 |
1679736003 | Jennifer F. Taschner | Dentist | 1645 Medical Ln, Fort Myers, FL 33907-1110 | 2008-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33919 |
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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.