DR. CHARLES WILLIAM ELWELL JR. (NPI# 1932174356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932174356 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WILLIAM ELWELL JR. |
| Credential | DMD |
| Practice Address |
7 Clifford Dr Shalimar FL 32579-1250 |
| Practice Telephone | 8506516882 |
| Practice Fax Number | 8506516692 |
| Mailing Telephone | 8506516882 |
| Mailing Fax Number | 8506516692 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN0012590 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835017 | Charles W. Elwell IIi | Dentist | 5823 Wooster Pike, Cincinnati, OH 45227-4505 | 2017-08-01 |
| Street Address |
7 CLIFFORD DR |
| City | SHALIMAR |
| State | FL |
| Zip Code | 32579-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568655702 | Oral and Maxillofacial Surgery Associates | Dentist | 7 Clifford Dr, Shalimar, FL 32579-1250 | 2007-08-21 |
| 1982679379 | Robert Clyde Ogletree Jr. | Dentist | 7 Clifford Dr, Shalimar, FL 32579-1250 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382278 | Rehabcare Group East, LLC | Clinic/Center | 1200 Hawthorne Hse Dr, Shalimar, FL 32579 | 2017-05-11 |
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| 1932111564 | Shalimar Family Dentistry | Dentist | 1 Eleventh Avenue, D-3, Shalimar, FL 32579 | 2006-08-12 |
| 1972761757 | Dr Bradley H Young D C P A | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2008-05-28 |
| 1528155413 | Howard T Goodpaster | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1912094830 | Lisa E Fletcher | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1255583795 | Ann Mcmanis | Pharmacist | 15 Healthcare Ln, Shalimar, FL 32579-0000 | 2008-10-15 |
| 1699950857 | Karen Michelle Reid | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2008-01-07 |
| 1285876540 | Beyond Expectations | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2009-04-01 |
| Find all providers in zip 32579 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568655702 | Oral and Maxillofacial Surgery Associates | Dentist | 7 Clifford Dr, Shalimar, FL 32579-1250 | 2007-08-21 |
| 1982679379 | Robert Clyde Ogletree Jr. | Dentist | 7 Clifford Dr, Shalimar, FL 32579-1250 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 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.