JACQUELINE A. DIETZ


Address: 2929 W Coachman Ave, Tampa, FL 33611-2809
Phone: 8135975035

JACQUELINE A. DIETZ (NPI# 1689760860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689760860
Entity Type Individual
Full Name JACQUELINE A. DIETZ
Credential DMD
Practice Address 2929 W Coachman Ave
Tampa
FL 33611-2809
Practice Telephone 8135975035
Enumeration Date 2006-10-05
Last Update Date 2014-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
DN15011 FL Dental Providers

Office Location

Street Address 2929 W COACHMAN AVE
City TAMPA
State FL
Zip Code 33611-2809

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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City TAMPA
Zip Code 33611

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Dataset Information

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.

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