DR. ANNISSA MICHAEL (NPI# 1891176160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891176160 |
| Entity Type | Individual |
| Full Name | DR. ANNISSA MICHAEL |
| Credential | DDS |
| Practice Address |
7551 Osceola Polk Line Road Davenport FL 33896 |
| Practice Telephone | 8638521195 |
| Mailing Telephone | 8638521195 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN21211 | FL | Dental Providers |
| Street Address |
7551 OSCEOLA POLK LINE ROAD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487020871 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
| 1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
| 1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
| 1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
| 1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
| 1750544706 | Citrus Family Medical Center LLC | Clinic/Center | 1485 Legends Boulevard, Davenport, FL 33896 | 2008-07-09 |
| Find all providers in zip 33896 | ||||
| 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 |
|---|---|---|---|---|
| 1568005999 | Davenport Modern Dentistry, Pa | Dentist | 1159 Posner Blvd, Davenport, FL 33837-3664 | 2019-10-17 |
| 1740756139 | Dague Dental Solutions | Dentist | 4711 N Brady St Ste 5s, Davenport, IA 52806-3955 | 2018-10-23 |
| 1871086405 | Mateo Vidales | Dentist | 7700 Lake Wilson Rd, Davenport, FL 33896-9601 | 2018-06-08 |
| 1083105878 | Kunmin Roo | Dentist | 5025 Utica Ridge Rd Ste 103, Davenport, IA 52807-3035 | 2018-05-29 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1821285776 | Brian Arthur Mykleby | Dentist | 2215 E 52nd St Ste 1, Davenport, IA 52807-2786 | 2007-09-25 |
| 1356561047 | Valerie Jennings | Dentist | 4624 Progress Drive, Suite E, Davenport, IA 52807-3490 | 2007-04-26 |
| 1245373737 | Monica Foley | Dentist | 1850 E 53rd St Ste 5, Davenport, IA 52807-2784 | 2007-02-14 |
| 1649341504 | Eugene V Mueller | Dentist | 2228 Hickory Grove Rd, Davenport, IA 52804-2353 | 2006-11-13 |
| Find all providers in DAVENPORT | ||||
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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.