MCILWAIN DENTAL SPECIALISTS (NPI# 1386648863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386648863 |
| Entity Type | Organization |
| Organization Name | MCILWAIN DENTAL SPECIALISTS |
| Practice Address |
4710 N Habana Ave Ste 203 Tampa FL 33614-7146 |
| Practice Telephone | 8138798097 |
| Practice Fax Number | 8138758792 |
| Mailing Telephone | 8138798097 |
| Mailing Fax Number | 8138758792 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | DR. LEIGH ANN MCILWAIN (OWNER) |
| Authorized Official Telephone | 8138798097 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
14465 | FL | Dental Providers |
| Street Address |
4710 N HABANA AVE STE 203 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760890685 | Kelly Holton | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2014-07-23 |
| 1417295072 | Leigh Ann Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1518205160 | James E Mcilwain Jr. | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1710225362 | Michael F Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1326317306 | Richard Lewis Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 402, Tampa, FL 33614-7161 | 2011-12-21 |
| 1699056853 | Sohrab Shafii Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 304, Tampa, FL 33614-7161 | 2011-09-01 |
| 1942502422 | William A. Alonso Md,pa | Specialist | 4710 N Habana Ave, Suite 404, Tampa, FL 33614-7161 | 2010-12-03 |
| 1356650535 | Gerald H Dominguez, Md Pa | Internal Medicine | 4710 N Habana Ave, Ste #201, Tampa, FL 33614-7146 | 2010-10-05 |
| 1073824645 | Panagiotis Zervogiannis | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2010-06-29 |
| 1609001734 | James L. Greco. Jr Od | Optometrist | 4710 N Habana Ave, Suite 204, Tampa, FL 33614-7161 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| 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 |
|---|---|---|---|---|
| 1487181541 | Alejandra Nathalie Polanco | Dentist | 10909 W Linebaugh Ave Ste 102, Tampa, FL 33626-1741 | 2017-05-18 |
| 1124497821 | Chelsea Monteleone | Dentist | 3806 W Linebaugh Ave, Tampa, FL 33618-8702 | 2015-09-23 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1689084162 | Christina Makram | Dentist | 13027 W Linebaugh Ave Ste 102, Tampa, FL 33626-4477 | 2014-05-05 |
| 1902242431 | Farnaz Adibi | Dentist | 3942 Britton Plz, Tampa, FL 33611-1408 | 2013-05-10 |
| 1215146493 | Ana Marai Vales | Dentist | 1540 S Dale Mabry Hwy, Tampa, FL 33629-5842 | 2007-05-22 |
| 1407923154 | Dr Duga, Dr Feeney & Associates | Dentist | 15293 Amberly Dr, Tampa, FL 33647 | 2006-11-29 |
| 1255420642 | Erika Sue Pettinato | Dentist | 14497 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2047 | 2006-10-12 |
| 1043310204 | Dwight E. Sanjuan | Dentist | 6532 Gunn Hwy, Tampa, FL 33625-4022 | 2006-09-25 |
| 1093816928 | Robyn Britt Lesser | Dentist | 6415 Sheldon Rd, Tampa, FL 33615-3102 | 2006-09-25 |
| Find all providers in TAMPA | ||||
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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.