CRYSTAL CAMDEN (NPI# 1710430988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710430988 |
| Entity Type | Individual |
| Full Name | CRYSTAL CAMDEN |
| Credential | DMD |
| Practice Address |
5205 Office Park Blvd Bradenton FL 34203 |
| Practice Telephone | 9417251128 |
| Mailing Telephone | 9417251128 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN22002 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3030 Us Highway 301 N, Ellenton, FL 342222010 | 9417220502 |
| Street Address |
5205 OFFICE PARK BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| 1619227295 | Ma Lourdes Fabello | General Acute Care Hospital | 5118 Wedge Ct E, Bradenton, FL 34203 | 2012-09-11 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810211 | Mcr Health, Inc. | Dentist | 3501 Cortez Rd W Ste 7, Bradenton, FL 34210-3196 | 2019-09-16 |
| 1962069211 | Stephanie Claire Denis | Dentist | 8640 State Road 70 E Ste D, Bradenton, FL 34202-3785 | 2019-05-22 |
| 1598218596 | Yuriy Kuchmak | Dentist | 8605 Sr 70, Bradenton, FL 34202 | 2016-07-27 |
| 1598115941 | Igor Traktinskiy | Dentist | 6084 14th St W Ste B-5, Bradenton, FL 34207-4104 | 2016-06-16 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1639542632 | H John Richmond | Dentist | 1906 59th St W, Suite H, Bradenton, FL 34209-4639 | 2015-11-12 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1073929147 | Joel Garcia Boss | Dentist | 8441 Heritage Green Way, Bradenton, FL 34212-1400 | 2014-07-09 |
| 1225450216 | Jon Gesicki | Dentist | 5580 Cortez Rd W, Bradenton, FL 34210-2817 | 2014-01-10 |
| 1609200054 | Chelsea Brockway | Dentist | 3611 1st St E Ste 530, Bradenton, FL 34208-4423 | 2013-08-21 |
| Find all providers in BRADENTON | ||||
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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.