SUPREME CARE DENTAL ASSOCIATES, LLC (NPI# 1952687824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952687824 |
| Entity Type | Organization |
| Organization Name | SUPREME CARE DENTAL ASSOCIATES, LLC |
| Practice Address |
7138 S Military Trl Lake Worth FL 33463-7812 |
| Practice Telephone | 5612965557 |
| Practice Fax Number | 5612962557 |
| Mailing Telephone | 5612965557 |
| Mailing Fax Number | 5612962557 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MISS JANE WOMELSDORFF (OFFICE MANAGER) |
| Authorized Official Telephone | 5612965557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN14459 | FL | Dental Providers |
| Street Address |
7138 S MILITARY TRL |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944621 | Alexandra Pericles | Behavioral Analyst | 7138 S Military Trl, Lake Worth, FL 33463-7812 | 2019-10-24 |
| 1184162927 | James Douglas Jr. | Developmental Therapist | 7138 S Military Trl, Lake Worth, FL 33463-7812 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| 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 |
|---|---|---|---|---|
| 1679170112 | Amina Soud Adem | Dentist | 6014 Azle Ave Ste 100, Lake Worth, TX 76135-2603 | 2020-10-07 |
| 1568009025 | Michael Gott | Dentist | 6045 Hagen Ranch Rd Ste 1, Lake Worth, FL 33467-7251 | 2019-12-04 |
| 1255886446 | Yue Jiang | Dentist | 6076 Azle Ave Ste 100, Lake Worth, TX 76135-2627 | 2016-08-17 |
| 1245681246 | Tousant Jamel Plunkett | Dentist | 1325 Tropical Dr, Lake Worth, FL 33460-5343 | 2016-06-30 |
| 1588046189 | Gail Castillo Deguzman | Dentist | 6076 Azle Ave, Lake Worth, TX 76135-2603 | 2015-06-19 |
| 1689085565 | Doyle George Musselman | Dentist | 220 5th Ave S, Lake Worth, FL 33460-4620 | 2014-05-14 |
| 1750700563 | Palms Dental Care Pllc | Dentist | 8918 Lantana Rd Ste B, Lake Worth, FL 33467-6136 | 2014-04-08 |
| 1528499365 | Sachs Dental Center | Dentist | 9835-8 Lake Worth Rd, Lake Worth, FL 33467 | 2013-12-04 |
| 1023453321 | Big Smile Dentistry Inc | Dentist | 4481 Lake Worth Rd Ste B, Lake Worth, FL 33461-3929 | 2013-05-01 |
| 1538418488 | Lyle Aaron Herman | Dentist | 5747 Gelding Ct, Lake Worth, FL 33449-5416 | 2012-09-06 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
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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.