MITCHELL INDICTOR, D.D.S., P.A. (NPI# 1699085498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699085498 |
Entity Type | Organization |
Organization Name | MITCHELL INDICTOR, D.D.S., P.A. |
Practice Address |
207 Se 23rd Ave Suite 100 Boynton Beach FL 33435-7653 |
Practice Telephone | 5617348600 |
Practice Fax Number | 5617386672 |
Mailing Telephone | 5617348600 |
Mailing Fax Number | 5617386672 |
Enumeration Date | 2010-10-14 |
Last Update Date | 2010-10-14 |
Authorized Official Name | DR. MITCHELL INDICTOR (PRESIDENT/DIRECTOR) |
Authorized Official Telephone | 5617348600 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
207 SE 23RD AVE SUITE 100 |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33435-7653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245385525 | Mitchell Indictor | Dentist | 207 Se 23rd Ave, Suite 100, Boynton Beach, FL 33435-7653 | 2007-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
Find all providers in zip 33435 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
1861053480 | Boynton Beach Mall Dental Pa | Dentist | 801 N Congress Ave Ste 185d, Boynton Beach, FL 33426-3364 | 2019-06-25 |
1316429780 | Dental Arts of Boynton Beach | Dentist | 10150 Hagen Ranch Rd Ste 202, Boynton Beach, FL 33437-3776 | 2018-09-03 |
1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
1710409990 | Camilo Rodriguez | Dentist | 7593 W Boynton Beach Blvd Ste 200, Boynton Beach, FL 33437-6162 | 2017-07-10 |
1225558604 | Jacqueline Russo | Dentist | 11676 Dunes Rd, Boynton Beach, FL 33436-5503 | 2017-06-26 |
1467988253 | Susel Maria Perez Ojeda | Dentist | 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 | 2017-05-11 |
1780044149 | Charles John Lalane | Dentist | 832 Sw 36th Ave, Boynton Beach, FL 33435-8514 | 2016-02-28 |
1649679945 | Melissa Bowers | Dentist | 9851 S Military Trl Ste I, Boynton Beach, FL 33436-3205 | 2014-08-22 |
1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
Find all providers in BOYNTON BEACH |
City | BOYNTON BEACH |
Zip Code | 33435 |
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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.