DEREK ALAN SLOSSER (NPI# 1609805357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609805357 |
| Entity Type | Individual |
| Full Name | DEREK ALAN SLOSSER |
| Credential | D.M.D |
| Practice Address |
430 N Mills Ave Suite 2 Orlando FL 32803-5746 |
| Practice Telephone | 4078438180 |
| Mailing Telephone | 4078438180 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN 14665 | FL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
13483 | MD | Dental Providers |
| Street Address |
430 N MILLS AVE SUITE 2 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679538367 | John E Russo | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2006-04-18 |
| 1558746842 | Andrew Watson | Counselor | 430 N Mills Ave, Suite 4, Orlando, FL 32803 | 2015-07-28 |
| 1437209095 | Glenn L Paulk | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2007-01-12 |
| 1770631137 | Charles Richard Glosson | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1306097837 | Frances Ballagas | Dentist | 2125 Portlight Dr Unit 101, Orlando, FL 32814-6951 | 2008-10-02 |
| 1245368711 | William John Aippersbach | Dentist | 610 N Mills Ave Ste 210, Orlando, FL 32803-7113 | 2007-02-28 |
| 1366537151 | Keith G Kanter | Dentist | 4861 South Orange Ave, Ste C, Orlando, FL 32806 | 2006-10-04 |
| 1619060217 | Brad A Lipkin | Dentist | 610 N Mills Ave Suite 210, Orlando, GA 32803 | 2006-10-02 |
| 1659638484 | Orlando Endodontic Specialists South | Dentist | 610 N Mills Ave, 210, Orlando, FL 32803-7119 | 2012-04-18 |
| 1396060430 | Orlando Endodontic Specialists-east | Dentist | 12301 Lake Underhill Rd, Ste 107, Orlando, FL 32828-4508 | 2010-04-01 |
| 1790008415 | Mark Andrew Goldberg | Dentist | 1603 S Hiawassee Rd, Suite 135, Orlando, FL 32835-6438 | 2010-03-09 |
| 1821264409 | Orlando Endodontic Specialists, P.a. | Dentist | 610 N Mills Ave, Ste 210, Orlando, FL 32803-7119 | 2008-05-05 |
| 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.