JOHANA KUTROLLI


Address: 1415 Governors Square Blvd, Tallahassee, FL 32301-3049
Phone: 8506889095

JOHANA KUTROLLI (NPI# 1780230896) 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) 1780230896
Entity Type Individual
Full Name JOHANA KUTROLLI
Credential DDS
Practice Address 1415 Governors Square Blvd
Tallahassee
FL 32301-3049
Practice Telephone 8506889095
Mailing Telephone 7183506774
Enumeration Date 2019-08-14
Last Update Date 2019-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DN24526 FL Dental Providers

Office Location

Street Address 1415 GOVERNORS SQUARE BLVD
City TALLAHASSEE
State FL
Zip Code 32301-3049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831333228 Wanda Frances Goodreau Dentist 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 2009-04-29
1447753090 Bwm Dentistry Pa Dentist 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 2018-03-09
1427464478 Mini Majumdar Dentist 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 2014-07-09

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1457967093 Tahlah Austin Behavior Technician 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 2020-09-18
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1770084824 Bond Community Health Center, Inc. Family Medicine 2200 South Monroe, Tallahassee, FL 32301 2018-02-23
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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
1952896292 Julio Alberto Sixto Dentist 2621 Mitcham Dr Ste 102, Tallahassee, FL 32308-5481 2018-06-28
1003344698 George M Jusu Dentist 3120 Mahan Drive, Tallahassee, FL 32308 2017-05-26
1780064329 Bennie Thompkins Dentist 535 Apple Yard Dr, Tallahassee, FL 32304 2015-06-08
1992111249 Victoria Jones Dentist 1970 Gainsborough Dr, Suite 2, Tallahassee, FL 32311-2717 2014-07-08
1235473018 Astrid Ivette Gonzalez Dentist 4052 Bald Cypress Way Bin A14, Dental Public Health Dept, Tallahassee, FL 32399-1724 2012-11-19
1013172808 Ronald Gordan Willis Jr. Dentist 2470 Care Dr, Tallahassee, FL 32308-4579 2008-07-22
1447414248 Ira John Seasholtz II Dentist 2003 Miccosukee Rd, Tallahassee, FL 32308-5307 2008-07-11
1134301872 Benjamin James Grooters Dentist 1318 E 6th Ave, Tallahassee, FL 32303-6506 2007-12-05
1891988531 Michael Darrh Bryant Dentist 1234 Timberlane Rd, Tallahassee, FL 32312-1710 2007-08-27
1114119906 Tom C Sexton Dentist 1384 Timberlane Rd, Tallahassee, FL 32312 2007-08-15
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Competitor

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City TALLAHASSEE
Zip Code 32301

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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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