DR. KATELYN MICHELLE RADNER (NPI# 1811556509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811556509 |
| Entity Type | Individual |
| Full Name | DR. KATELYN MICHELLE RADNER |
| Credential | DMD |
| Practice Address |
3680 W Gandy Blvd Tampa FL 33611-2608 |
| Mailing Address |
4423 Connery Ct Palm Harbor FL 34685-3137 |
| Practice Telephone | 8138200063 |
| Mailing Telephone | 7275994841 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN24201 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN24201 | FL | Dental Providers |
| Street Address |
3680 W GANDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753825 | Melissa Ann Jones | Dentist | 3680 W Gandy Blvd, Tampa, FL 33611-2608 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| 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 |
|---|---|---|---|---|
| 1033742499 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8682 Hunters Village Rd, Tampa, FL 33647-3778 | 2020-02-13 |
| 1194387118 | Matthew Sorsok | Dentist | 8406 Wilsky Blvd, Tampa, FL 33615-1515 | 2019-06-29 |
| 1922666056 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13805 Nine Eagles Dr, Tampa, FL 33626-3002 | 2019-06-04 |
| 1346728425 | Buckenheimer & Bulnes, D.m.d.'s P.a. | Dentist | 3906 W. Neptune St., Tampa, FL 33629-5829 | 2018-08-01 |
| 1700308855 | Neil Bradley Seaver | Dentist | 16562 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-07-11 |
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1316479959 | Jennifer Lindsay Kucko | Dentist | 12113 W Linebaugh Ave, Tampa, FL 33626-1732 | 2017-04-02 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1821441601 | Nicholas K. Mickelson | Dentist | 10041 W Hillsborough Ave, Tampa, FL 33615-3002 | 2016-07-18 |
| Find all providers in TAMPA | ||||
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| 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.