DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA (NPI# 1750786729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750786729 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA |
| Other Organization Name | WATERSIDE DENTAL |
| Practice Address |
2555 Enterprise Rd Ste 3 Clearwater FL 33763-1104 |
| Practice Telephone | 9419184300 |
| Practice Fax Number | 9419180605 |
| Mailing Telephone | 9419184300 |
| Mailing Fax Number | 9419180605 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | HELEN LARAMEE (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 9419184300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN12560 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Waterside Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841692191 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S Tamiami Trl # A-c, Sarasota, FL 34238-3049 | 2014-09-18 |
| 1417357096 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 218 53rd Ave W, Bradenton, FL 34207-3412 | 2014-09-02 |
| 1487067344 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3731 Nw 40th Ter Ste A, Gainesville, FL 32606-8148 | 2014-06-09 |
| 1043623903 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 4131 University Blvd S Ste 10, Jacksonville, FL 32216-4346 | 2014-06-09 |
| 1568892792 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 | 2013-11-26 |
| 1316377641 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1214 E Venice Ave Ste B, Venice, FL 34285-7165 | 2013-11-22 |
| 1457781361 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1058 N Tamiami Trl Ste 106, Sarasota, FL 34236-2427 | 2013-11-14 |
| 1164731857 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 657 Tamiami Trl S, Venice, FL 34285-3237 | 2010-09-29 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1629387477 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S. Tamiami Trail A-c, Sarasota, FL 34238 | 2010-09-28 |
| Street Address |
2555 ENTERPRISE RD STE 3 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33763-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
| 1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
| 1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
| 1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
| 1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
| 1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
| 1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
| 1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
| Find all providers in zip 33763 | ||||
| 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 |
|---|---|---|---|---|
| 1568023067 | Countryside Mall Dental Pa | Dentist | 27001 Us Highway 19 N Ste 1031b, Clearwater, FL 33761-3407 | 2019-06-25 |
| 1659894426 | James Ray Renner | Dentist | 13 Windward Is, Clearwater, FL 33767-2322 | 2017-07-24 |
| 1861947459 | Dental Arts Clearwater Pa | Dentist | 1201 S Highland Ave Ste 3, Clearwater, FL 33756-4359 | 2016-08-24 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1679974224 | Amish Jayendra Patel | Dentist | 1243 Lakeview Rd, Clearwater, FL 33756-3587 | 2014-09-12 |
| 1629483342 | Paul Kanach | Dentist | 29605 Us Highway 19 N Ste 310, Clearwater, FL 33761-1540 | 2014-06-23 |
| 1235481847 | David Robert Houghton | Dentist | 503 Cleveland St, Clearwater, FL 33755-4007 | 2012-10-05 |
| 1962751370 | Mark V Davis Dmd Pllc | Dentist | 14010 Roosevelt Blvd Ste 704, Clearwater, FL 33762-3820 | 2012-08-30 |
| 1528341518 | Raymond G Behm Jr. | Dentist | 127 N Garden Ave, Clearwater, FL 33755-4119 | 2011-09-26 |
| 1568771053 | Michael Dipiazza | Dentist | 2519 N. Mullen Booth Road, Suite 201, Clearwater, FL 33761 | 2010-09-30 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33763 |
Please comment or provide details below to improve the information on DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA.
| 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.