TDC JUPITER FARMS, LLC (NPI# 1972164762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972164762 |
| Entity Type | Organization |
| Organization Name | TDC JUPITER FARMS, LLC |
| Practice Address |
10156 Indiantown Rd Ste B7 Jupiter FL 33478-4707 |
| Mailing Address |
8794 W Boynton Beach Blvd Ste 110 Boynton Beach FL 33472-4468 |
| Practice Telephone | 5617436700 |
| Practice Fax Number | 5617439314 |
| Mailing Telephone | 5617778980 |
| Mailing Fax Number | 5617778608 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | SEAN TOMALTY (OWNER) |
| Authorized Official Telephone | 5617778980 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Jupiter Farms | Doing Business As Name - Organization |
| Street Address |
10156 INDIANTOWN RD STE B7 |
| City | JUPITER |
| State | FL |
| Zip Code | 33478-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417483504 | Austin L Mautner Dmd Pa | Clinic/Center | 10088 W Indiantown Rd, Jupiter, FL 33478 | 2017-05-10 |
| 1952858433 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 4191 W Indiantown Rd, Jupiter, FL 33478 | 2016-09-01 |
| 1215376835 | Michelle Caribe Daniel | Acupuncturist | 17189 N 96th Way, Jupiter, FL 33478 | 2013-06-17 |
| 1720235336 | Lourdes Eva Guerra | Social Worker | 11830 169th Ct No, Jupiter, FL 33478 | 2008-08-26 |
| 1043474828 | D Ashby Schwartz | Nurse Practitioner | 17900 Beeline Hwy, West Palm Beach, FL 33478 | 2008-07-11 |
| 1689644148 | Carol K Mcmorrow | Nurse Practitioner | 15696 93rd Ln N, Jupiter, FL 33478 | 2006-01-25 |
| 1306926167 | Patricia Anne O'driscoll | Registered Nurse | 18901 Se Crosswinds Ln, Jupiter, FL 33478-1911 | 2006-10-16 |
| 1245854546 | Natalie Diaz | Counselor | 12330 184th Ct N, Jupiter, FL 33478-2033 | 2020-06-02 |
| 1669584264 | Michael Bessos | Pediatrics | 9334 Southern Oak Ln, Jupiter, FL 33478-2238 | 2006-08-31 |
| 1447520721 | Holli Stern | Pharmacist | 18122 Burr Oak Ln, Jupiter, FL 33478-2247 | 2012-01-04 |
| Find all providers in zip 33478 | ||||
| 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 |
|---|---|---|---|---|
| 1881211225 | Milaidy Delgado Espinosa | Dentist | 401 Maplewood Dr Ste 9, Jupiter, FL 33458-5848 | 2020-07-01 |
| 1316507379 | Shawn Logan Briggs | Dentist | 451 University Blvd Ste 101, Jupiter, FL 33458-3102 | 2019-06-20 |
| 1962061481 | Katherine Elizabeth Brattebo | Dentist | 122 Victorian Ln, Jupiter, FL 33458-3781 | 2019-06-08 |
| 1366994592 | Janely Pinero Fredrick | Dentist | 10156 Indiantown Rd, Jupiter, FL 33478-4707 | 2016-11-04 |
| 1912367400 | Anthony Joseph Orrico | Dentist | 112 Quayside Dr, Jupiter, FL 33477-4009 | 2016-02-26 |
| 1902270705 | Jason Dale | Dentist | 1928 Commerce Ln Ste 1, Jupiter, FL 33458-5598 | 2015-11-17 |
| 1174907695 | Amiee M. Vaughn | Dentist | 651 W Indiantown Rd Ste A, Jupiter, FL 33458-7557 | 2015-07-14 |
| 1922405901 | Shorelinesmiles Pa | Dentist | 1230 W Indiantown Rd, Suite 101, Jupiter, FL 33458-3904 | 2014-11-19 |
| 1073921672 | Jaishil Pllc | Dentist | 759 Parkway, Suite 103, Jupiter, FL 33477-4505 | 2014-07-27 |
| 1902247356 | Three Palms Dental | Dentist | 2151 S Hwy A1a Alt, Suite 1300, Jupiter, FL 33477-4112 | 2013-07-15 |
| Find all providers in JUPITER | ||||
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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.