GROUP DENTAL OF THE PALM BEACHES INC. (NPI# 1033224399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033224399 |
| Entity Type | Organization |
| Organization Name | GROUP DENTAL OF THE PALM BEACHES INC. |
| Practice Address |
2601 N Flagler Dr Ste 101 West Palm Beach FL 33407-5542 |
| Mailing Address |
2601 North Flagler Drive Suite 101 West Palm Beach FL 33407 |
| Practice Telephone | 5618335474 |
| Practice Fax Number | 5618330490 |
| Mailing Telephone | 5618335474 |
| Mailing Fax Number | 5618330490 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN P BROWN (VICE PRESIDENT) |
| Authorized Official Telephone | 5618335474 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2601 N FLAGLER DR STE 101 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| 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 |
|---|---|---|---|---|
| 1134781610 | Annika Marschall Dmd Pa | Dentist | 2425 Presidential Way Apt 1805, West Palm Beach, FL 33401-1321 | 2019-07-03 |
| 1790889269 | Julie Ann Kennedy | Dentist | 1501 Presidential Way Ste 18, West Palm Beach, FL 33401-1852 | 2006-09-12 |
| 1144332701 | Dental Center At Forest Hill, Pa | Dentist | 3027 Forest Hill Blvd, Suite A-3, West Palm Beach, FL 33406 | 2006-08-31 |
| 1083629141 | Endodontic Associates of The Palm Beaches, P.a | Dentist | 1501 Presidential Way Ste 7, West Palm Beach, FL 33401-1852 | 2006-07-29 |
| 1972545432 | Michael Brandon Elliott | Dentist | 321 8th St, West Palm Beach, FL 33401-3309 | 2006-06-11 |
| 1346457850 | Melvin Boner | Dentist | 1309 S Flagler Dr, West Palm Beach, FL 33401-6736 | 2007-05-16 |
| 1205967171 | Sang Y Shin | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-09 |
| 1720119639 | Rory E Mortman | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-09 |
| 1790816882 | Sunghee Ahn | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-08 |
| 1568513802 | Kenneth Thomas Riso | Dentist | 1857 N Military Trl, West Palm Beach, FL 33409-4715 | 2007-01-15 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
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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.