COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1568816155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568816155 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | CORNER LAKE FAMILY DENTAL |
| Practice Address |
16731 East Colonial Drive Orlando FL 32820 |
| Practice Telephone | 3218045440 |
| Practice Fax Number | 3218045465 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Corner Lake Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975575 | Comfortable Care Dental Health Professionals, Pa | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1285080929 | Comfortable Care Dental Health Professionals, Pa | Dentist | 715 Palm Bay Rd Ne, Suite 107, West Melbourne, FL 32904-9167 | 2016-05-12 |
| 1013379635 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2529 Santa Barbara Blvd, Suite 100, Cape Coral, FL 33914-4455 | 2016-03-23 |
| Street Address |
16731 EAST COLONIAL DRIVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221549 | Adele Stallard | Dentist | 16729 East Colonial Drive, Suite 151, Orlando, FL 32820 | 2016-08-31 |
| 1295072981 | Dora G Rebelo | Pharmacist | 16825 East Colonial Dr, Orlando, FL 32820 | 2013-01-15 |
| 1922398023 | Community Health Centers, Inc | Clinic/Center | 19108 E Colonial Drive, Orlando, FL 32820 | 2011-04-11 |
| 1033409123 | Community Health Centers, Inc | Clinic/Center | 19108 E Colonial Drive, Orlando, FL 32820-0000 | 2011-04-11 |
| 1336608223 | Anna Kay White | Student in an Organized Health Care Education/Training Program | 4451 Chuluota Rd, Orlando, FL 32820-1124 | 2019-03-19 |
| 1902405830 | Tejah Carbone | Social Worker | 2630 S Tanner Rd, Orlando, FL 32820-1202 | 2020-10-21 |
| 1356717847 | Paola Saenz | Social Worker | 3525 Oriskany Dr, Orlando, FL 32820-1402 | 2015-08-19 |
| 1386091304 | Johnnie Kramer Jr. | Marriage & Family Therapist | 3127 San Leo Dr, Orlando, FL 32820-1429 | 2016-05-19 |
| 1619419637 | Dennis Geary | Durable Medical Equipment & Medical Supplies | 3204 San Leo Dr, Orlando, FL 32820-1432 | 2016-11-08 |
| 1497381362 | Sabrina Ngo | Student in an Organized Health Care Education/Training Program | 18240 Bellezza Dr, Orlando, FL 32820-1448 | 2020-03-22 |
| Find all providers in zip 32820 | ||||
| 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 |
|---|---|---|---|---|
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1821609454 | Ideal Dental of Lake Nona | Dentist | 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 | 2020-08-17 |
| 1063023703 | Muhammad Sheryar Khan | Dentist | 11712 Savona Way, Orlando, FL 32827-7243 | 2020-08-16 |
| 1306464805 | Orlando Implants Center Pa | Dentist | 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 | 2020-07-10 |
| 1720601628 | Amber Lynn Medellin | Dentist | 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 | 2020-05-26 |
| 1134741960 | Karoline Anne Biami | Dentist | 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 | 2020-05-14 |
| 1568083020 | Ricardo J Cermeno Sr. | Dentist | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| 1871149120 | Damien Phillips Blanco | Dentist | 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 | 2019-08-13 |
| 1144872029 | My Forever Smiles LLC | Dentist | 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 | 2019-07-11 |
| 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.