DR. MALISSA VACHARAKIAT (NPI# 1609959873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609959873 |
| Entity Type | Individual |
| Full Name | DR. MALISSA VACHARAKIAT |
| Credential | DMD |
| Practice Address |
6526 Gunn Hwy Tampa FL 33625-4022 |
| Mailing Address |
502 S Fremont Ave Apt 433 Tampa FL 33606-4300 |
| Practice Telephone | 8133742290 |
| Mailing Telephone | 2103916295 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
21729 | TX | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN16468 | FL | Dental Providers |
| Street Address |
6526 GUNN HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33625-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557233 | Dennis Demirjian | Dentist | 6526 Gunn Hwy, Tampa, FL 33625-4022 | 2006-08-20 |
| 1134230196 | Citrus Park Endodontics, Pa | Clinic/Center | 6526 Gunn Hwy, Tampa, FL 33625-4022 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316222 | Kyle Raymond Schindler | Physical Therapist | 12891 Citrus Park Dr, Tampa, FL 33625 | 2020-02-03 |
| 1558923771 | Rose Alexis | Nurse Practitioner | 5357 Enrlich Road, Tampa, FL 33625 | 2019-07-08 |
| 1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
| 1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
| 1285012773 | Be Bellus Med Spa | Clinic/Center | 6914 W Linebaugh Ave, Suite 102, Tampa, FL 33625 | 2015-05-15 |
| 1649519877 | Brenda Lee Figueroa | Nurse Practitioner | 6702 West Linebaugh Ave., Tampa, FL 33625 | 2013-02-07 |
| 1639424930 | Sheriece Sadberry | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2012-07-23 |
| 1619244191 | Mariana Velandia | Counselor | 12819 Pacifica Pl, Tampa, FL 33625 | 2011-11-28 |
| 1245507003 | Oleston Chiropractic, P.a. | Chiropractor | 6575 Gunn Hwy, Tampa, FL 33625 | 2011-11-22 |
| 1891074027 | Christine M Klocek | Behavioral Analyst | 6543 Gunn Highway, Tampa, FL 33625 | 2011-08-05 |
| Find all providers in zip 33625 | ||||
| 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 |
|---|---|---|---|---|
| 1053711036 | Endodontic Associates of Tampa Pa | Dentist | 11940 Sheldon Rd, Tampa, FL 33626-3643 | 2014-08-27 |
| 1811301625 | Kevin Kuo | Dentist | 8635 W Hillsborough Ave # 148, Tampa, FL 33615-3810 | 2014-06-19 |
| 1871930727 | Jaclyn F Rivera | Dentist | 13246 N Dale Mabry Hwy, Tampa, FL 33618-2408 | 2013-06-03 |
| 1811251481 | Matthew Kruszewski | Dentist | 3401 W Fletcher Ave Ste B, Tampa, FL 33618-2813 | 2012-06-28 |
| 1114112935 | Mikhail M Gankin | Dentist | 808 N Franklin St, #2801, Tampa, FL 33602-3859 | 2007-09-14 |
| 1952511511 | Paul Zaritsky | Dentist | 3670 Henderson Blvd Ste B, Tampa, FL 33609-4515 | 2007-05-23 |
| 1700911021 | Terryl Ann Petropoulos | Dentist | 825 Martin Luther King Blvd, Tampa, FL 33603 | 2007-02-23 |
| 1730225301 | Kevin Bryan Melker | Dentist | 15237 Amberly Dr, Tampa, FL 33647-2155 | 2007-01-30 |
| 1750462875 | Steven Trevor Shwer | Dentist | 3401 West Fletcher Avenue, Suite B, Tampa, FL 33618 | 2006-10-17 |
| 1649368309 | Christian Kamaris | Dentist | 4031 W Kennedy Blvd, Tampa, FL 33609-2751 | 2006-10-10 |
| Find all providers in TAMPA | ||||
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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.