MR. GARY LOUIS WEITEKAMP (NPI# 1396958005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396958005 |
| Entity Type | Individual |
| Full Name | MR. GARY LOUIS WEITEKAMP |
| Credential | DDS |
| Practice Address |
2407 St Andrews Blvd Suite A Panama City FL 32405-2170 |
| Practice Telephone | 8507635021 |
| Practice Fax Number | 8507695025 |
| Mailing Telephone | 8507635021 |
| Mailing Fax Number | 8507695025 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN0009503 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA INS CO | 547422 | 01 |
| Street Address |
2407 ST ANDREWS BLVD SUITE A |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336454701 | Lisa Marie Lapointe | Dentist | 3123 W 23rd St, Panama City, FL 32405-1828 | 2010-08-10 |
| 1386883411 | Bay Dental Center | Dentist | 544 Magnolia Ave, Panama City, FL 32401-3052 | 2009-02-12 |
| 1386889798 | William C. Knapke | Dentist | 617 W 23rd St, Panama City, FL 32405-3922 | 2008-12-15 |
| 1063674802 | James Hugh Mullins | Dentist | 1010 W 11th St, Panama City, FL 32401-2042 | 2008-07-01 |
| 1942417761 | Michael D Murray | Dentist | 2507 Harrison Ave., Suite 100, Panama City, FL 32405 | 2007-05-17 |
| 1043430101 | Matthew Louis Hablitzel | Dentist | 2309-a St Andrews Blvd, Panama City, FL 32405 | 2007-04-30 |
| 1548384373 | John Robert Mcwhorter | Dentist | 2638 Jenks Ave, Panama City, FL 32405-4387 | 2007-03-19 |
| 1275638884 | Harry C Futrell | Dentist | 330 West 23rd Street, Ste J, Panama City, FL 32405 | 2006-09-14 |
| 1063420347 | Advanced Dental Clinic Pa | Dentist | 311 Airport Rd, Panama City, FL 32405 | 2006-08-03 |
| 1205859345 | John Christopher Collias | Dentist | 45 East Beach Drive, Panama City, Fl, Usa, Panama City, FL 32401-3240 | 2006-07-26 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MR. GARY LOUIS WEITEKAMP.
| 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.