DR. FREDERICK DAMIAN ANDERSON (NPI# 1902019326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902019326 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK DAMIAN ANDERSON |
| Credential | DMD |
| Practice Address |
16737 Fishhawk Blvd Lithia FL 33547-3860 |
| Practice Telephone | 8136627171 |
| Practice Fax Number | 8136623024 |
| Mailing Telephone | 8136627171 |
| Mailing Fax Number | 8136623024 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN17531 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194990747 | Frederick Ryan Anderson | Obstetrics & Gynecology | 909 San Ramon Valley Blvd Ste #214, Danville, CA 94526-4038 | 2008-04-24 |
| 1861409740 | Frederick James Anderson Jr. | Radiology | 4871 Turnberry Ln, Columbus, GA 31909-2080 | 2006-08-02 |
| 1053351759 | Frederick W Anderson | Family Medicine | 800 Sw 108th Ave, 100, Miami, FL 33174-2555 | 2006-06-08 |
| Street Address |
16737 FISHHAWK BLVD |
| City | LITHIA |
| State | FL |
| Zip Code | 33547-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760695183 | Fishhawk Family Dental | Dentist | 16737 Fishhawk Blvd, Lithia, FL 33547-3860 | 2007-05-08 |
| 1144433566 | Christopher Glenn Judson | Dentist | 16737 Fishhawk Blvd, Lithia, FL 33547-3860 | 2007-05-08 |
| 1265645683 | Marc Roy Johnson | Dentist | 16737 Fishhawk Blvd, Lithia, FL 33547-3860 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316402274 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5655 Circa Fishhawk Blvd., Lithia, FL 33547 | 2019-02-05 |
| 1588169098 | Guided Life Care Planning Services LLC | Case Management | 17429 New Cross Cir, Lithia, FL 33547 | 2018-03-27 |
| 1649700451 | Jose Luis Ruiz | Dentist | 33547 Fishhawk Blvd and Bayberry Glenn, Lithia, FL 33547 | 2017-06-14 |
| 1588195721 | Conde Dermatology Group Pllc | Clinic/Center | 5607 Skytop Drive, Lithia, FL 33547 | 2017-03-21 |
| 1164812558 | Yvette Marie Collins | Pharmacist | 18130 Dorman Rd, Lithia, FL 33547 | 2015-01-23 |
| 1174930473 | Magdolen Midence | Pharmacist | 18715 Lithia Towne Rd, Lithia, FL 33547 | 2014-07-18 |
| 1578978516 | Jennifer Moscoso Conde | Dermatology | 5607 Skyop Drive, Lithia, FL 33547 | 2014-06-29 |
| 1518381227 | Patty's House 2 LLC | Assisted Living Facility | 3425 Porter Road, Lithia, FL 33547 | 2014-02-17 |
| 1982028692 | Patty's House Inc | Assisted Living Facility | 10637 Lithia Pinecrest Road, Lithia, FL 33547 | 2014-02-17 |
| 1114297264 | Melanie Jane Fielding | Registered Nurse | 2030 Nichols Road, Lithia, FL 33547 | 2012-01-06 |
| Find all providers in zip 33547 | ||||
| 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 |
|---|---|---|---|---|
| 1730726506 | Fishhawk Modern Dentistry, Pa | Dentist | 16509 Fishhawk Blvd, Lithia, FL 33547-3835 | 2019-11-29 |
| 1003330416 | Felipe Salles | Dentist | 16627 Fishhawk Blvd Ste 102, Lithia, FL 33547-3800 | 2017-07-27 |
| 1053831545 | Nadine Krystal Jean-baptiste | Dentist | 16228 Bayberry Glen Dr, Lithia, FL 33547-4051 | 2017-06-26 |
| 1649700451 | Jose Luis Ruiz | Dentist | 33547 Fishhawk Blvd and Bayberry Glenn, Lithia, FL 33547 | 2017-06-14 |
| 1326271842 | Vera Lee | Dentist | 5658 Fishhawk Crossing Blvd, Lithia, FL 33547-5900 | 2009-09-01 |
| 1497998033 | Kerry David Smith | Dentist | 16319 Fishhawk Blvd, Lithia, FL 33547-3932 | 2009-04-13 |
| 1255593992 | Joseph Paul Wareham | Dentist | 13431 Fishhawk Blvd, Lithia, FL 33547-3833 | 2008-06-25 |
| 1245457183 | Dana M Busciglio Diaz | Dentist | 5601 Skytop Dr, Lithia, FL 33547 | 2007-04-20 |
| 1568583342 | Richard M Kernagis Dmd Pa | Dentist | 5486 Lithia Pine Crest Rd, Lithia, FL 33547 | 2007-04-02 |
| 1720518541 | Angela Butala | Dentist | 5658 Fishhawk Crossing Blvd, Lithia, FL 33547-5900 | 2017-06-14 |
| Find all providers in LITHIA | ||||
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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.