DR. SHAWN A. MITCHELL (NPI# 1780622647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780622647 |
| Entity Type | Individual |
| Full Name | DR. SHAWN A. MITCHELL |
| Credential | D.M.D. |
| Practice Address |
304 Glen Ave Valparaiso FL 32580-1233 |
| Practice Telephone | 8506784151 |
| Practice Fax Number | 8506788722 |
| Mailing Telephone | 8506784151 |
| Mailing Fax Number | 8506788722 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7878 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609829 | Shawn Anthony Mitchell | Dentist | 1480 Quarterpath Rd Ste 2a, Williamsburg, VA 23185-6531 | 2018-08-21 |
| 1720490063 | Shawn Michael Mitchell | Dentist | 4950 Centre Pointe Dr Ste 114, North Charleston, SC 29418-6929 | 2014-05-21 |
| 1750909008 | Shawn Jeffery Mitchell | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2020-07-13 |
| 1629503982 | Shawn Mitchell I | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-04-25 |
| 1831354190 | Shawn B Mitchell | Physician Assistant | 1326 E Little Creek Rd, Norfolk, VA 23518-3952 | 2008-07-25 |
| Street Address |
304 GLEN AVE |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181232 | Alex J. Jeffrey | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2015-08-11 |
| 1528441003 | Jeffrey Dental Clinic | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2015-07-02 |
| 1073996757 | Mckinzie Jeffrey | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1255635348 | Annette Brabham Od Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2011-01-04 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| Find all providers in zip 32580 | ||||
| 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 |
|---|---|---|---|---|
| 1902464613 | Emily Svetanoff | Dentist | 4400 N Calumet Ave Ste 300, Valparaiso, IN 46383-1606 | 2019-05-29 |
| 1376981522 | George Pete Politakis | Dentist | 2505 Laporte Ave, Valparaiso, IN 46383-6994 | 2013-06-10 |
| 1932440898 | Shideler Dentistry, P.C. | Dentist | 8 N Garfield, Valparaiso, IN 46383-5019 | 2013-03-01 |
| 1376793513 | Yohan Ghang | Dentist | 2505 Laporte Ave Ste 111, Valparaiso, IN 46383-6995 | 2008-09-24 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| 1215159876 | Lifetime Dental Care of Indiana, PC | Dentist | 334 West Us 30, Suite G, Valparaiso, IN 46385 | 2007-05-03 |
| 1316165434 | Dean Boldin | Dentist | 402 Marquette St, Valparaiso, IN 46383-2563 | 2007-04-23 |
| 1285851485 | Gary Allen Nondorf | Dentist | 2001 Roosevelt Rd, Valparaiso, IN 46383-2746 | 2007-04-19 |
| 1225152895 | Richard Dennis Stackert | Dentist | 506 E Evans Avenue, Valparaiso, IN 46383 | 2007-03-19 |
| 1811038813 | Hugh Allen Smith Sr. | Dentist | 236 S 100 W, Valparaiso, IN 46385-9663 | 2007-02-11 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
Please comment or provide details below to improve the information on DR. SHAWN A. MITCHELL.
| 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.