COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1710427687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710427687 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | DENTAL CARE AT TRINITY LAKES |
| Practice Address |
12456 State Road 54 Odessa FL 33556-3477 |
| Practice Telephone | 7273125035 |
| Practice Fax Number | 7273125029 |
| Mailing Telephone | 7273125035 |
| Mailing Fax Number | 7273125029 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care at Trinity Lakes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975575 | Comfortable Care Dental Health Professionals, Pa | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1285080929 | Comfortable Care Dental Health Professionals, Pa | Dentist | 715 Palm Bay Rd Ne, Suite 107, West Melbourne, FL 32904-9167 | 2016-05-12 |
| 1568816155 | Comfortable Care Dental Health Professionals, Pa | Dentist | 16731 East Colonial Drive, Orlando, FL 32820 | 2016-04-20 |
| Street Address |
12456 STATE ROAD 54 |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899116 | Brittany Nalley | Dentist | 12456 State Road 54, Odessa, FL 33556-3477 | 2016-09-21 |
| 1033631932 | Elianet Diaz | Dentist | 12456 State Road 54, Odessa, FL 33556-3477 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| 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 |
|---|---|---|---|---|
| 1427619238 | Benjamin Bennett Waites | Dentist | 4901 E 42nd St Ste B, Odessa, TX 79762-7338 | 2019-06-23 |
| 1619443736 | Abbeville Dentistry - Odessa East, Pllc | Dentist | 2499 E 11th St, Odessa, TX 79761-4232 | 2018-10-16 |
| 1124535885 | Anisha Patel | Dentist | 6909 Arabian Rd, Odessa, FL 33556-1825 | 2018-01-03 |
| 1346759487 | Andes Dental Pllc | Dentist | 1157 E 42nd St Ste A, Odessa, TX 79762-7723 | 2017-09-20 |
| 1629592217 | Quyen Tran | Dentist | 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 | 2017-07-26 |
| 1861920886 | Constance Schreck | Dentist | 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 | 2017-06-03 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1285011882 | Precious Smiles Dentistry, PC | Dentist | 2713 N Grandview Ave, Odessa, TX 79762-6952 | 2015-05-04 |
| 1821494121 | Robert Meek | Dentist | 7331 Eastridge Rd, Odessa, TX 79765-8903 | 2014-11-13 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in ODESSA | ||||
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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.