ANTHONY BUNNELL (NPI# 1659690576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659690576 |
Entity Type | Individual |
Full Name | ANTHONY BUNNELL |
Credential | D.M.D. |
Practice Address |
653 W 8th St Faculty Clinic 3rd Fl Jacksonville FL 32209-6511 |
Practice Telephone | 9042443689 |
Practice Fax Number | 9042443870 |
Mailing Telephone | 9042443689 |
Mailing Fax Number | 9042443870 |
Enumeration Date | 2010-05-18 |
Last Update Date | 2017-05-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | ME128004 | FL | Allopathic & Osteopathic Physicians |
N | 204E00000X | Oral & Maxillofacial Surgery | DRP838 | FL | Allopathic & Osteopathic Physicians |
Street Address |
653 W 8TH ST FACULTY CLINIC 3RD FL |
City | JACKSONVILLE |
State | FL |
Zip Code | 32209-6511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
1285258681 | Muhammad Muzammil Siddiqui | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-06-01 |
1528688256 | Jean-christophe N Rwigema | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-04-22 |
1184253767 | Olivia Mae Hopper | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-04-05 |
1649808585 | Marcos Valentin | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-27 |
1568099851 | Zack Ramilevich | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-25 |
1326609058 | Clinton Wilkinson | Surgery | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-06-24 |
1710448659 | Michael Rocco Aiello | Anesthesiology | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-25 |
1093275190 | Selina Garcia | Surgery | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-23 |
1275093759 | Abby Caroline Sheffield | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
Find all providers in zip 32209 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780755314 | Stephen Craig English | Oral & Maxillofacial Surgery | 2363 2 Dunn Avenue, Jacksonville, FL 32218-4601 | 2006-11-13 |
1144210964 | Richard Wayne Joseph Sr. | Oral & Maxillofacial Surgery | 5101-1 Gate Parkway, Jacksonville, FL 32256 | 2005-10-24 |
1164814596 | Andrew L. Skigen Dmd Pa | Oral & Maxillofacial Surgery | 8708 Perimeter Park Blvd, Suite #1, Jacksonville, FL 32216-6354 | 2015-02-23 |
1831353747 | Christopher Wright Latham | Oral & Maxillofacial Surgery | 2047 Park St, Jacksonville, FL 32204-3809 | 2008-07-10 |
1326105933 | Meadows Lutcavage Smith Vinton Fidler Long & Armstrong Pa | Oral & Maxillofacial Surgery | 46 Office Park Dr, Jacksonville, NC 28546-3217 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
1447625579 | Michael M Hashemian Dmd Md Pa | Oral & Maxillofacial Surgery | 32 Seven Hills Dr, Spring Hill, FL 34609-0212 | 2015-12-01 |
1629486097 | Oral Surgery Associates | Oral & Maxillofacial Surgery | 195 W Highland Street, Altamonte Springs, FL 32714 | 2014-07-29 |
1356601249 | First Coast Oral & Facial Surgery, Pa | Oral & Maxillofacial Surgery | 319 W Town Place, Suite 2, St Augustine, FL 32092 | 2012-05-24 |
1043582331 | Scott E. Farber, Dds.,p.a | Oral & Maxillofacial Surgery | 5150 Curry Ford Rd, Orlando, FL 32812-8744 | 2012-02-01 |
1760613426 | Jason E. Portnof | Oral & Maxillofacial Surgery | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2009-07-29 |
1497984785 | Ricardo M Ortiz | Oral & Maxillofacial Surgery | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2009-07-08 |
1992983654 | Patricia Hornback Dmd | Oral & Maxillofacial Surgery | 2426 Jenks Ave, Panama City, FL 32405-4908 | 2008-02-05 |
1821290305 | Marvin Craig Diamond | Oral & Maxillofacial Surgery | 5521 Bilbao Pl, Sarasota, FL 34238-4708 | 2007-06-05 |
1912048240 | Facial Surgery Center Pa | Oral & Maxillofacial Surgery | 1371 Bedford Drive, Melbourne, FL 32940 | 2007-02-09 |
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City | JACKSONVILLE |
Zip Code | 32209 |
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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.