BRUCE D. WATERMAN, DMD,PA (NPI# 1013325265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013325265 |
| Entity Type | Organization |
| Organization Name | BRUCE D. WATERMAN, DMD,PA |
| Practice Address |
127 Kingsway Rd Brandon FL 33510-4601 |
| Practice Telephone | 8136898462 |
| Practice Fax Number | 8136845665 |
| Mailing Telephone | 8136898462 |
| Mailing Fax Number | 8136845665 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Authorized Official Name | DR. BRUCE DONALD WATERMAN (PRESIDENT) |
| Authorized Official Telephone | 8136898462 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN9391 | FL | Ambulatory Health Care Facilities |
| Street Address |
127 KINGSWAY RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861518565 | Andrea Dawn Gordillo | Dentist | 127 Kingsway Rd, Brandon, FL 33510-4605 | 2007-03-22 |
| 1902220320 | Bruce Waterman Dmd, Sleep Ez,pl | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-02-05 |
| 1144341595 | Bruce Donald Waterman | Dentist | 127 Kingsway Rd, Suite A, Brandon, FL 33510-4605 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242111 | Lumina Dentalof Brandon, Pa | Clinic/Center | 225 Brandon Town Center Dr, Brandon, FL 33511-4728 | 2019-12-18 |
| 1316458136 | Reservoir Smiles Dentistry, Pllc | Clinic/Center | 1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244 | 2017-10-19 |
| 1083099600 | Skylight Dental Care Pllc | Clinic/Center | 117 N. Oakwood Avenue, Brandon, FL 33510 | 2015-07-24 |
| 1841617305 | Mobile Health Solutions Inc | Clinic/Center | 1700 W Government St Ste 203, Brandon, MS 39042-2423 | 2014-03-23 |
| 1578122172 | Vladimir A. Avril, Pllc | Clinic/Center | 3413 S Kings Ave Ste 200, Brandon, FL 33511-7780 | 2019-06-07 |
| 1770064388 | Brandon Family Dentistry | Clinic/Center | 5 Carver St, Brandon, VT 05733-1103 | 2018-08-22 |
| 1073057964 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2016-12-12 |
| 1902220320 | Bruce Waterman Dmd, Sleep Ez,pl | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-02-05 |
| 1265779052 | Grants Ferry Family Dentistry | Clinic/Center | 1075 Lake Village Cir, Brandon, MS 39047-6743 | 2013-01-14 |
| 1164607552 | Family Health Care Clinic, Inc. | Clinic/Center | 1551 W Government St, Brandon, MS 39042 | 2008-01-03 |
| Find all providers in BRANDON | ||||
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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.