PROVIDENCE DENTAL LLC (NPI# 1407330145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407330145 |
Entity Type | Organization |
Organization Name | PROVIDENCE DENTAL LLC |
Practice Address |
12450 E. Colonial Drive Suite 124 Orlando FL 32826 |
Practice Telephone | 4076350704 |
Practice Fax Number | 4072860439 |
Mailing Telephone | 4076350704 |
Mailing Fax Number | 4072860439 |
Enumeration Date | 2018-09-19 |
Last Update Date | 2018-09-19 |
Authorized Official Name | NADIA KAHOOK (CREDENTIALING CONSULTANT) |
Authorized Official Telephone | 9544465797 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PENDING | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295189595 | Providence Dental LLC | Dentist | 225 N Macon St, Macon, GA 31210-6562 | 2016-04-22 |
Street Address |
12450 E. COLONIAL DRIVE SUITE 124 |
City | ORLANDO |
State | FL |
Zip Code | 32826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
1023380466 | Amy Singleton | Counselor | 12001 Research Pkwy Ste 236, Orlando, FL 32826 | 2012-02-01 |
Find all providers in zip 32826 |
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 |
---|---|---|---|---|
1851917215 | Christian Arcolin Lo Monaco | Dentist | 8865 Commodity Cir Ste 6, Orlando, FL 32819-9077 | 2020-06-22 |
1821625161 | Strategic Dental P.a. | Dentist | 12250 Strategy Blvd Ste 437, Orlando, FL 32817-2108 | 2020-03-26 |
1538794185 | Nona Dentists 3, Pa | Dentist | 12964 Narcoossee Rd, Orlando, FL 32832-6925 | 2020-03-04 |
1245863463 | Leonard S Kaplan Dds Pa | Dentist | 12131 S Apopka-vineland Rd, Orlando, FL 32836-6802 | 2020-02-17 |
1811546856 | Leslie Joelle Fernandez Bencosme | Dentist | 13670 Boggy Creek Rd, Orlando, FL 32824-9203 | 2019-09-11 |
1841844321 | Ryan Christopher Huhn | Dentist | 1100 S Orange Ave, Orlando, FL 32806-1249 | 2019-08-01 |
1740848167 | Quy Phan | Dentist | 3502 Avalon Park West Blvd, Orlando, FL 32828-7859 | 2019-05-31 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
1306332143 | Peter Fereg | Dentist | 5979 Vineland Rd Ste 205, Orlando, FL 32819-7855 | 2018-07-05 |
1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
Find all providers in ORLANDO |
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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.