M COWAN & ASSOCIATES DDS PA (NPI# 1972522944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972522944 |
| Entity Type | Organization |
| Organization Name | M COWAN & ASSOCIATES DDS PA |
| Other Organization Name | DENTAL SPECIALTY CENTER OF PEMBROKE PINES |
| Practice Address |
9050 Pines Blvd Suite 420 Pembroke Pines FL 33024-6455 |
| Practice Telephone | 9544327025 |
| Practice Fax Number | 9544327613 |
| Mailing Telephone | 9544327025 |
| Mailing Fax Number | 9544327613 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. MARC COWAN (PRESIDENT) |
| Authorized Official Telephone | 9544327025 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
9476 | FL | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
11402 | FL | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
17373 | FL | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9783 | FL | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16125 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7432 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Specialty Center of Pembroke Pines | Doing Business As Name - Organization |
| Street Address |
9050 PINES BLVD SUITE 420 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396727491 | Gamaliel Rodriguez-herrera | Specialist | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6456 | 2005-11-16 |
| 1942742069 | Physical Therapy Institute and Aquatic Rehab Inc | Physical Therapist | 9050 Pines Blvd, Pembroke Pines, FL 33024-6455 | 2016-11-07 |
| 1215479332 | Action Physical Therapy, LLC | Physical Therapist | 9050 Pines Blvd, 100, Pembroke Pines, FL 33024-6455 | 2016-11-07 |
| 1306388434 | Royal Palm Beach Rehab, Corp | Physical Therapist | 9050 Pines Blvd, 100, Pembroke Pines, FL 33024-6455 | 2016-11-07 |
| 1700249315 | Gayl Canfield | Dietitian, Registered | 9050 Pines Blvd, Suite 415, Pembroke Pines, FL 33024-6455 | 2016-03-31 |
| 1558749861 | Community Healthcare Network | Home Health | 9050 Pines Blvd, Suite 362a, Pembroke Pines, FL 33024-6455 | 2015-05-07 |
| 1538552435 | Radiology Associates of Hollywood, Inc. | Radiology | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6455 | 2015-03-17 |
| 1982038360 | Demetrius Walton | Case Manager/Care Coordinator | 9050 Pines Blvd, 415-408, Pembroke Pines, FL 33024-6455 | 2013-08-21 |
| 1003248550 | Margarita Ann Charadan | Case Manager/Care Coordinator | 9050 Pines Blvd, Suite 415-408, Pembroke Pines, FL 33024-6455 | 2013-08-07 |
| 1225390503 | Kerri E Adamy | Nurse Practitioner | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6455 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932844 | Sean Donovan Mccall | Dentist | 2221 N University Dr Ste D, Pembroke Pines, FL 33024-3603 | 2019-03-22 |
| 1912082868 | Edward Ronald Kirsh | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027 | 2006-10-26 |
| 1235243189 | Ivan Pelton | Dentist | 12558 Pines Blvd, Pembroke Pines, FL 33027-1713 | 2006-08-18 |
| 1003832528 | Joel Brian Slingbaum | Dentist | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2006-07-15 |
| 1669967816 | Lauren Tink | Dentist | 10430 Pines Blvd Ste C103, Pembroke Pines, FL 33026-6049 | 2018-06-28 |
| 1427500610 | Endo Group Pllc | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027-1775 | 2016-11-04 |
| 1639560543 | Fredericka Salbo | Dentist | 2221 N University Dr, Pembroke Pines, FL 33024-3603 | 2015-02-13 |
| 1154694891 | Pembroke Dental Associates | Dentist | 12251 Taft St, Suite 404, Pembroke Pines, FL 33026-1901 | 2012-02-10 |
| 1205167673 | Timur A Sekercioglu | Dentist | 18044 Nw 6th St, Suite 103, Pembroke Pines, FL 33029-2824 | 2010-01-24 |
| 1013164060 | Laura Gonzalez D.m.d, P.a. | Dentist | 500 N Hiatus Rd, Suite 109, Pembroke Pines, FL 33026-5213 | 2008-08-21 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on M COWAN & ASSOCIATES DDS PA.
| 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.