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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN15011 | FL | Dental Providers |
Street Address |
2929 W COACHMAN AVE |
City | TAMPA |
State | FL |
Zip Code | 33611-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
Find all providers in zip 33611 |
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 |
Please comment or provide details below to improve the information on JACQUELINE A. DIETZ.
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.