KENNETH MARK GREENBERG (NPI# 1932673217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932673217 |
| Entity Type | Individual |
| Full Name | KENNETH MARK GREENBERG |
| Credential | DDS |
| Practice Address |
8529 Gunn Hwy Odessa FL 33556-3288 |
| Practice Telephone | 8139206608 |
| Mailing Telephone | 8139206608 |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2019-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN10056 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336448000 | Kenneth Greenberg | Behavioral Analyst | 3644 S Fort Apache Rd, Las Vegas, NV 89147-3409 | 2011-03-21 |
| 1053327908 | Kenneth Greenberg | Dentist | 1234 Hyde Park Ave, Suite 103, Hyde Park, MA 02136-2819 | 2006-07-31 |
| 1386632602 | Kenneth Michael Greenberg | Chiropractor | 8312 Lake Murray Blvd, Suite O, San Diego, CA 92119-3435 | 2005-10-11 |
| 1750780813 | Kenneth Greenberg | General Practice | 175 W 76th St, Apt 7e, New York, NY 10023-8302 | 2014-08-14 |
| 1528047289 | Kenneth Greenberg | Emergency Medicine | 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | 2006-01-11 |
| 1972587228 | Kenneth S Greenberg | Internal Medicine | 4545 E 9th Ave, Suite 120, Denver, CO 80220-3901 | 2005-11-30 |
| Street Address |
8529 GUNN HWY |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-3288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538488176 | Kenneth M. Greenberg Dds & Nancy E. Freibaum Dds Pa | Dentist | 8529 Gunn Hwy, Odessa, FL 33556-3288 | 2010-05-21 |
| 1952928251 | Lisa M Ma Dmd, Pllc | Clinic/Center | 8529 Gunn Hwy, Odessa, FL 33556-3288 | 2020-07-02 |
| 1649653957 | Lisa M Ma | Dentist | 8529 Gunn Hwy, Odessa, FL 33556-3288 | 2015-07-06 |
| 1336550664 | Nancy Ellen Freibaum | Dentist | 8529 Gunn Hwy, Odessa, FL 33556-3288 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619238 | Benjamin Bennett Waites | Dentist | 4901 E 42nd St Ste B, Odessa, TX 79762-7338 | 2019-06-23 |
| 1619443736 | Abbeville Dentistry - Odessa East, Pllc | Dentist | 2499 E 11th St, Odessa, TX 79761-4232 | 2018-10-16 |
| 1124535885 | Anisha Patel | Dentist | 6909 Arabian Rd, Odessa, FL 33556-1825 | 2018-01-03 |
| 1346759487 | Andes Dental Pllc | Dentist | 1157 E 42nd St Ste A, Odessa, TX 79762-7723 | 2017-09-20 |
| 1629592217 | Quyen Tran | Dentist | 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 | 2017-07-26 |
| 1861920886 | Constance Schreck | Dentist | 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 | 2017-06-03 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1285011882 | Precious Smiles Dentistry, PC | Dentist | 2713 N Grandview Ave, Odessa, TX 79762-6952 | 2015-05-04 |
| 1821494121 | Robert Meek | Dentist | 7331 Eastridge Rd, Odessa, TX 79765-8903 | 2014-11-13 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in ODESSA | ||||
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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.