ANDREW BELLEBAUM


Address: 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312
Phone: 7579538609

ANDREW BELLEBAUM (NPI# 1780098723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780098723
Entity Type Individual
Full Name ANDREW BELLEBAUM
Credential DMD
Practice Address 554 Keily Street Bureau of Med and Sur
Centralized Credentials and Privilegeing
Jacksonville
FL 32312
Mailing Address 554 Keily Street Bureau of Med and Sur
Centralized Credentials and Privi Privilegeing
Jacksonville
FL 32312
Practice Telephone 7579538609
Mailing Telephone 7579538609
Enumeration Date 2014-06-18
Last Update Date 2014-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 8380 SC Dental Providers

Office Location

Street Address 554 KEILY STREET BUREAU OF MED AND SUR
CENTRALIZED CREDENTIALS AND PRIVILEGEING
City JACKSONVILLE
State FL
Zip Code 32312

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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902419864 Andre M Fang Dentist 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 2020-08-28
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1093323479 Britney Marie Cruz Dentist 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 2020-07-21
1083238786 Sleep Better Solutions LLC Dentist 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 2020-05-29
1114550258 James Moran Dentist 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 2020-02-18
1265075329 Latoya Goins Dentist 1280 Western Blvd, Jacksonville, NC 28546-6653 2019-10-22
1437706462 Stephanie Marquez Dentist 751 Oak St Ste 601, Jacksonville, FL 32204-3373 2019-08-23
1831751064 Rachel Marie Schloth Dentist 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 2019-07-09
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
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Competitor

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City JACKSONVILLE
Zip Code 32312

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Dataset Information

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.

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