DR. NOUR ELKHATIB (NPI# 1790301752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790301752 |
| Entity Type | Individual |
| Full Name | DR. NOUR ELKHATIB |
| Credential | DMD |
| Practice Address |
3226 Lake Washington Rd Ste 16 Melbourne FL 32934-7620 |
| Mailing Address |
10086 Cove Lake Dr Orlando FL 32836-3764 |
| Practice Telephone | 3212551991 |
| Mailing Telephone | 4078649198 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN25032 | FL | Dental Providers |
| Street Address |
3226 LAKE WASHINGTON RD STE 16 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558840371 | Professional Dental Alliance of Lake Washington, Pllc | Dentist | 3226 Lake Washington Rd Ste 16, Melbourne, FL 32934-7620 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699334599 | Thomas Tolles | Dentist | 6340 N Wickham Rd Unit 101, Melbourne, FL 32940-2045 | 2019-06-13 |
| 1891281697 | Alisa Morgan Kleiman | Dentist | 6455 N Wickham Rd Unit 103, Melbourne, FL 32940-2020 | 2018-07-03 |
| 1285122044 | Kenneth A Mogell Dmd Pa | Dentist | 1400 Pine St Ste A, Melbourne, FL 32901-3170 | 2018-04-27 |
| 1871006742 | Dentists of Melbourne, Pa | Dentist | 6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020 | 2017-11-14 |
| 1144746116 | Viera Modern Dentistry, Pa | Dentist | 2328 Citadel Way, Suite 101, Melbourne, FL 32940 | 2017-08-21 |
| 1104209782 | New Image Dentistry | Dentist | 7827 N Wickham Rd, Suite A, Melbourne, FL 32940-8289 | 2015-07-01 |
| 1538549001 | Song Mao | Dentist | 1390 S Babcock St, Melbourne, FL 32901-3009 | 2015-05-31 |
| 1659769891 | Champaka Nagaraju | Dentist | 7777 N Wickham Rd Ste 4, Melbourne, FL 32940-7978 | 2014-12-22 |
| 1477960375 | Alexandros Tapper | Dentist | 3150 N Wickham Rd Ste 7, Melbourne, FL 32935-2322 | 2014-07-13 |
| 1700227923 | Dhiren Agrawal | Dentist | 249 Palm Bay Rd Ne, Melbourne, FL 32904-8602 | 2013-07-16 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on DR. NOUR ELKHATIB.
| 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.