DR. IVAN BERYL ROBERTS (NPI# 1952321945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952321945 |
| Entity Type | Individual |
| Full Name | DR. IVAN BERYL ROBERTS |
| Credential | D.D.S. |
| Practice Address |
353 Office Plz Tallahassee FL 32301-2729 |
| Practice Telephone | 8508775314 |
| Practice Fax Number | 8508778221 |
| Mailing Telephone | 8508775314 |
| Mailing Fax Number | 8508778221 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | FL4009 | FL | Dental Providers |
| Street Address |
353 OFFICE PLZ |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| 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 |
|---|---|---|---|---|
| 1952896292 | Julio Alberto Sixto | Dentist | 2621 Mitcham Dr Ste 102, Tallahassee, FL 32308-5481 | 2018-06-28 |
| 1003344698 | George M Jusu | Dentist | 3120 Mahan Drive, Tallahassee, FL 32308 | 2017-05-26 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1992111249 | Victoria Jones | Dentist | 1970 Gainsborough Dr, Suite 2, Tallahassee, FL 32311-2717 | 2014-07-08 |
| 1235473018 | Astrid Ivette Gonzalez | Dentist | 4052 Bald Cypress Way Bin A14, Dental Public Health Dept, Tallahassee, FL 32399-1724 | 2012-11-19 |
| 1013172808 | Ronald Gordan Willis Jr. | Dentist | 2470 Care Dr, Tallahassee, FL 32308-4579 | 2008-07-22 |
| 1447414248 | Ira John Seasholtz II | Dentist | 2003 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2008-07-11 |
| 1134301872 | Benjamin James Grooters | Dentist | 1318 E 6th Ave, Tallahassee, FL 32303-6506 | 2007-12-05 |
| 1891988531 | Michael Darrh Bryant | Dentist | 1234 Timberlane Rd, Tallahassee, FL 32312-1710 | 2007-08-27 |
| 1114119906 | Tom C Sexton | Dentist | 1384 Timberlane Rd, Tallahassee, FL 32312 | 2007-08-15 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on DR. IVAN BERYL ROBERTS.
| 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.