MICHAEL L CHILDERS DDS PLLC (NPI# 1386261675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386261675 |
| Entity Type | Organization |
| Organization Name | MICHAEL L CHILDERS DDS PLLC |
| Practice Address |
1058 N Tamiami Trl Sarasota FL 34236-2416 |
| Practice Telephone | 9418703322 |
| Practice Fax Number | 9419555959 |
| Mailing Telephone | 9418703322 |
| Mailing Fax Number | 9419555959 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MICHAEL CHILDERS (OWNER) |
| Authorized Official Telephone | 9418703322 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1058 N TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235300583 | Dental Health Group, PC | Dentist | 1058 N Tamiami Trl, Ste 106, Sarasota, FL 34236-2416 | 2008-03-14 |
| 1558630111 | Evgeny Nemchonok | Dentist | 1058 N Tamiami Trl, #106, Sarasota, FL 34236-2416 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427100940 | Craig Martin Misch | Dentist | 120 South Tuttle Ave, Sarasota, FL 34237 | 2007-01-17 |
| 1821158262 | Todd John Reuter | Dentist | 3300 S Tamiami Trl Ste 7, Sarasota, FL 34239-5100 | 2006-12-08 |
| 1629166111 | Alberico Joseph Sessa | Dentist | 4143 Clark Rd, Sarasota, FL 34233-2403 | 2006-10-10 |
| 1013920669 | Gary Martin Raska | Dentist | 3940 Swift Rd, Sarasota, FL 34231-6541 | 2006-08-14 |
| 1457323974 | Scott A Wenk | Dentist | 3900 Clark Rd Bldg I, Sarasota, FL 34233-2381 | 2006-02-07 |
| 1023480092 | Ryan C. Taylor, Dds, Pa | Dentist | 2820 Clark Rd, Sarasota, FL 34231-6220 | 2015-10-29 |
| 1114291002 | Implantis Oral & Facial Surgery, Pa | Dentist | 3940 Swift Rd, Sarasota, FL 34231-6541 | 2012-02-24 |
| 1639488463 | Peter Jeff Kaufman | Dentist | 3900 Clark Rd, Building I, Sarasota, FL 34233-2301 | 2010-09-28 |
| 1043408354 | Frank John Spino | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2007-10-11 |
| 1528287059 | Scott A Middleton | Dentist | 3940 Swift Rd, Sarasota, FL 34231-6541 | 2007-04-24 |
| Find all providers in SARASOTA | ||||
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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.