DR. SIMONA IVANOV (NPI# 1861987752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861987752 |
| Entity Type | Individual |
| Full Name | DR. SIMONA IVANOV |
| Credential | DDS |
| Practice Address |
302 W Fletcher Ave Tampa FL 33612 |
| Mailing Address |
302 W Fletcher Ave Tampa FL 33612-3415 |
| Practice Telephone | 8138660930 |
| Practice Fax Number | 8134053722 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8134053722 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN23345 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1243 Lakeview Rd, Clearwater, FL 337563587 | 7274437353 | 7274432144 |
| Street Address |
302 W FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246210 | David Leopoldo Lopez | Pediatrics | 302 W Fletcher Ave, Tampa, FL 33612 | 2006-06-22 |
| 1285244541 | Ericka Danielle Gray | Dentist | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2020-08-03 |
| 1144863069 | America Delgado | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-10-23 |
| 1235780537 | Nicolle A Abelow | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-09-27 |
| 1336792464 | Diana Gonzalez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-07-18 |
| 1851863872 | Tiara Ross | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-01-02 |
| 1396237400 | Amanda Lape | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-06-04 |
| 1558866939 | Jeanie Marie Menendez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-03-27 |
| 1649771239 | Lakeshia Wynn | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-02-28 |
| 1083115224 | Norman Viray Bisda | Registered Nurse | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590880 | Matthew S Davidson | Dentist | 5611 Sheldon Rd, Tampa, FL 33615-3532 | 2017-07-10 |
| 1962827196 | Aderonke Ogunbameru | Dentist | 3901 S West Shore Blvd, Tampa, FL 33611-1003 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
| 1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
| 1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
| 1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| 1942556337 | Avalondental Group | Dentist | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2012-08-03 |
| Find all providers with the same taxonomy | ||||
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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.