STEPHANE DIEUDONNE DDS, PA (NPI# 1669885752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885752 |
| Entity Type | Organization |
| Organization Name | STEPHANE DIEUDONNE DDS, PA |
| Practice Address |
14824 Pines Blvd Pembroke Pines FL 33027-1222 |
| Practice Telephone | 3053885783 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | DR. STEPHANE DIEUDONNE (OWNER/ORTHODONTIST) |
| Authorized Official Telephone | 3053885783 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN16155 | FL | Dental Providers |
| Street Address |
14824 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578039491 | Johnny Gonzalez | Dentist | 18503 Pines Blvd Ste 304, Pembroke Pines, FL 33029-1406 | 2018-10-18 |
| 1093998619 | Brian K Bons | Dentist | 1637 N Hiatus Rd, Pembroke Pines, FL 33026-2129 | 2007-12-06 |
| 1205057700 | Albert Lucas | Dentist | 10056 Pines Blvd., Pembroke Pines, FL 33156 | 2007-05-01 |
| 1750831921 | Ricardo Chang Dds Pa | Dentist | 9646 Pines Blvd, Pembroke Pines, FL 33024-6241 | 2016-10-11 |
| 1104278910 | Orthosmiles,p.a. | Dentist | 302 Nw 179th Ave, Suite#201-a, Pembroke Pines, FL 33029-2818 | 2016-07-05 |
| 1972919132 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2014-07-09 |
| 1942613450 | M.khakhria Dmd Ms Pa | Dentist | 10051 Pines Blvd, Suite C, Pembroke Pines, FL 33024-6186 | 2014-06-03 |
| 1255775649 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2013-04-29 |
| 1912283136 | Marissa Nicole Cooper | Dentist | 140 S University Dr, Pembroke Pines, FL 33025-2234 | 2011-11-02 |
| 1194057620 | Bradley Hunt Santelli | Dentist | 10271 Pines Blvd, Pembroke Pines, FL 33026-6008 | 2010-02-09 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
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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.