WELLINGTON CENTER FOR ORAL AND MAXILLOFACIAL SURGERY (NPI# 1851654677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851654677 |
| Entity Type | Organization |
| Organization Name | WELLINGTON CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
1051 S State Road 7 Building G Suite 1 Wellington FL 33414-6135 |
| Practice Telephone | 5617900206 |
| Practice Fax Number | 5617955445 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | MR. MICHAEL G MAUCK (OWNER) |
| Authorized Official Telephone | 5617900206 |
| Authorized Official Credential | BDB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DN9881 | FL | Dental Providers |
| Street Address |
1051 S STATE ROAD 7 BUILDING G SUITE 1 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979908 | Maram Bawazir | Dentist | University of Florida Dentistry D8, Gainesville, FL 32610-0001 | 2018-07-21 |
| 1326533043 | Saja A Alramadhan | Dentist | 1395 Center Dr Fl 8, Gainesville, FL 32610-3006 | 2018-06-25 |
| 1023142148 | William Jarmolych | Dentist | 1935 Drew St, Clearwater, FL 33765-3041 | 2007-03-14 |
| 1942339478 | Rosa H. Robison | Dentist | 2131 Westover Reserve Blvd, Windermere, FL 34786 | 2007-03-02 |
| 1932234986 | Gregory Taylor | Dentist | 4410 Sheridan St Ste B, Hollywood, FL 33021-3553 | 2007-02-22 |
| 1811022858 | Ira Stone | Dentist | 4420 Sheridan St Ste B, Hollywood, FL 33021-3552 | 2007-02-22 |
| 1801950902 | Paul Theodore Richman | Dentist | 1045 Ne 125th St, N Miami, FL 33161 | 2006-12-21 |
| 1104911015 | Giancarlo Bland | Dentist | 2499 Glades Rd., Suite 309, Boca Raton, FL 33431-7202 | 2006-10-04 |
| 1396830741 | Kenyon Mcgill Fort | Dentist | 7135 Dr. M. L. King Jr., Street North, St. Petersburg, FL 33702 | 2006-10-03 |
| 1225134539 | Scott Elliott Farber | Dentist | 5150 Curry Ford Road, Orlando, FL 32812 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on WELLINGTON CENTER FOR ORAL AND MAXILLOFACIAL SURGERY.
| 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.