FAMILY DENTISTRY OF PORT CHARLOTTE (NPI# 1497267942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497267942 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY OF PORT CHARLOTTE |
| Practice Address |
2300 Tamiami Trl # 13&14 Port Charlotte FL 33952-3900 |
| Practice Telephone | 9412095353 |
| Practice Fax Number | 9418666838 |
| Mailing Telephone | 9412095959 |
| Mailing Fax Number | 9418666838 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | DR. KEVIN J KRAUSE (OWNER) |
| Authorized Official Telephone | 8637739344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN18310 | FL | Dental Providers |
| Street Address |
2300 TAMIAMI TRL # 13&14 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| 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 |
|---|---|---|---|---|
| 1750784955 | Gregory James Brandau | Dentist | 2762 Tamiami Trl, Suite B, Port Charlotte, FL 33952-5128 | 2014-10-01 |
| 1568892792 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 | 2013-11-26 |
| 1871835868 | Randal C Robertson | Dentist | 21202 Olean Blvd Ste E2, Port Charlotte, FL 33952-6723 | 2013-03-18 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1477736643 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1940 Tamiami Trail, Suite 102, Port Charlotte, FL 33948-2105 | 2007-12-11 |
| 1407050909 | Manuel A Pulido | Dentist | 4161 Tamiami Trail, Suite 604, Port Charlotte, FL 33948 | 2007-06-11 |
| 1770704264 | Donna L. Smolinski, D.m.d., P.a. | Dentist | 970 Kings Hwy Unit 3, Port Charlotte, FL 33980-4213 | 2007-05-01 |
| 1902024631 | Casimer James Ciborowski | Dentist | 941 Tamiami Trl, Suite F, Port Charlotte, FL 33953-3121 | 2007-04-20 |
| 1497970800 | Julia B. Pizarro | Dentist | 2762b Tamiami Trl, Port Charlotte, FL 33952-5128 | 2007-04-13 |
| 1003030420 | Shamus Loftus | Dentist | 3280 Tamiami Trl Ste 56, Port Charlotte, FL 33952-8053 | 2007-04-13 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on FAMILY DENTISTRY OF PORT CHARLOTTE.
| 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.