ENDODONTIC ASSOCIATES OF TAMPA PA (NPI# 1053711036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711036 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC ASSOCIATES OF TAMPA PA |
| Practice Address |
11940 Sheldon Rd Tampa FL 33626-3643 |
| Mailing Address |
3165 N Mcmullen Booth Rd Ste 2 Clearwater FL 33761-2032 |
| Practice Telephone | 7277962183 |
| Practice Fax Number | 7277268827 |
| Mailing Telephone | 7277962183 |
| Mailing Fax Number | 7277268827 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DR. RAED S AL KASEM (PRESIDENT) |
| Authorized Official Telephone | 7277962183 |
| Authorized Official Credential | D.D.S.,M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
11940 SHELDON RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| 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 |
|---|---|---|---|---|
| 1811301625 | Kevin Kuo | Dentist | 8635 W Hillsborough Ave # 148, Tampa, FL 33615-3810 | 2014-06-19 |
| 1871930727 | Jaclyn F Rivera | Dentist | 13246 N Dale Mabry Hwy, Tampa, FL 33618-2408 | 2013-06-03 |
| 1811251481 | Matthew Kruszewski | Dentist | 3401 W Fletcher Ave Ste B, Tampa, FL 33618-2813 | 2012-06-28 |
| 1114112935 | Mikhail M Gankin | Dentist | 808 N Franklin St, #2801, Tampa, FL 33602-3859 | 2007-09-14 |
| 1952511511 | Paul Zaritsky | Dentist | 3670 Henderson Blvd Ste B, Tampa, FL 33609-4515 | 2007-05-23 |
| 1700911021 | Terryl Ann Petropoulos | Dentist | 825 Martin Luther King Blvd, Tampa, FL 33603 | 2007-02-23 |
| 1730225301 | Kevin Bryan Melker | Dentist | 15237 Amberly Dr, Tampa, FL 33647-2155 | 2007-01-30 |
| 1750462875 | Steven Trevor Shwer | Dentist | 3401 West Fletcher Avenue, Suite B, Tampa, FL 33618 | 2006-10-17 |
| 1649368309 | Christian Kamaris | Dentist | 4031 W Kennedy Blvd, Tampa, FL 33609-2751 | 2006-10-10 |
| 1689760860 | Jacqueline A. Dietz | Dentist | 2929 W Coachman Ave, Tampa, FL 33611-2809 | 2006-10-05 |
| Find all providers in TAMPA | ||||
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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.