BWM DENTISTRY PA (NPI# 1447753090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447753090 |
| Entity Type | Organization |
| Organization Name | BWM DENTISTRY PA |
| Practice Address |
1415 Governors Square Blvd Tallahassee FL 32301-3049 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 8506889095 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | BRANDON MECKELBERG (OWNER) |
| Authorized Official Telephone | 8506889095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1415 GOVERNORS SQUARE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831333228 | Wanda Frances Goodreau | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2009-04-29 |
| 1780230896 | Johana Kutrolli | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2019-08-14 |
| 1427464478 | Mini Majumdar | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285276 | Tally Dental, Pa | Dentist | 2418 Millcreek Ln # 3, Tallahassee, FL 32308-4368 | 2020-01-30 |
| 1992335715 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3715 Old Bradfordville Rd, Tallahassee, FL 32312-9501 | 2020-01-21 |
| 1912568114 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 2807 Capital Medical Blvd Ste A, Tallahassee, FL 32308-4438 | 2019-06-27 |
| 1326608662 | Sheref Gadalla | Dentist | 5442 Thomasville Rd Ste 1, Tallahassee, FL 32312-7598 | 2019-06-18 |
| 1699334300 | Calogero D'anna | Dentist | 960 Learning Way #3400, Tallahassee, FL 32306-0001 | 2019-06-07 |
| 1023531704 | Big Bend Cares, Inc. | Dentist | 2200 South Monroe St, Tallahassee, FL 32301-6303 | 2017-07-25 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1245687060 | Erin A Shiveler, Dmd Pllc | Dentist | 2027 Thomasville Rd Ste 101, Tallahassee, FL 32308-0752 | 2016-05-22 |
| 1831581693 | Chanelle Commedore | Dentist | 2700 Blairstone Rd Ste B, Tallahassee, FL 32301-5927 | 2015-03-03 |
| 1982029849 | Nancy E. Phillips | Dentist | 428 E College Ave, Tallahassee, FL 32301-1524 | 2014-02-28 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on BWM DENTISTRY PA.
| 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.