CHRISTIE DENTAL PRACTICE GROUP (NPI# 1720257504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720257504 |
| Entity Type | Organization |
| Organization Name | CHRISTIE DENTAL PRACTICE GROUP |
| Practice Address |
1674 W Hibiscus Blvd Melbourne FL 32901-2631 |
| Practice Telephone | 3217290004 |
| Practice Fax Number | 3217290046 |
| Mailing Telephone | 3217290004 |
| Mailing Fax Number | 3217290046 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | MR. TIM CHRISTIE (CFO) |
| Authorized Official Telephone | 3217290004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN14545 | FL | Dental Providers |
| Street Address |
1674 W HIBISCUS BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486227 | Bradford J Wolk | Obstetrics & Gynecology | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2005-08-31 |
| 1912434812 | Vivian Torres-olsen | Nurse Practitioner | 1674 W Hibiscus Blvd, Melbourne, FL 32901 | 2017-05-23 |
| 1669724688 | Antoinette Barre Ferry | Nurse Practitioner | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2012-10-15 |
| 1518953348 | Patricia M Zylman | Obstetrics & Gynecology | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1891268413 | Dynamic Dental Health Associates of Florida Pa | Dentist | 2419 S Babcock St, Melbourne, FL 32901-5310 | 2019-01-07 |
| 1558840371 | Professional Dental Alliance of Lake Washington, Pllc | Dentist | 3226 Lake Washington Rd Ste 16, Melbourne, FL 32934-7620 | 2018-08-13 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| 1295264232 | Christian Vidalon | Dentist | 7827 N Wickham Rd Ste C, Melbourne, FL 32940-8289 | 2017-06-04 |
| 1851750426 | Derek Chenet | Dentist | 7331 Office Park Pl Ste 100, Melbourne, FL 32940-8238 | 2016-02-11 |
| 1659770725 | New Image Dentistry of West Melbourne | Dentist | 2025 W New Haven Ave, Melbourne, FL 32904-3801 | 2014-08-14 |
| 1922413046 | Alfredo Enrique Torras Ceballos | Dentist | 6555 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2014-06-26 |
| 1275880742 | Natalia Valderrama Dougherty | Dentist | 903 Jordan Blass Dr Ste 102, Melbourne, FL 32940-1325 | 2012-08-14 |
| 1306118674 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2900 Lake Washington Rd Ste 2, Melbourne, FL 32935-3400 | 2012-02-02 |
| 1952696007 | Daniel Warren Eley | Dentist | 2301 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-3120 | 2011-06-16 |
| Find all providers in MELBOURNE | ||||
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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.